Organization
FAST PACE MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M FRAZIER (GROUP ENROLLMENT SUPERVISOR)
(803) 804-2043
Entity
Organization
Contact information
Practice address
324 MICAH WAY, SCOTTSBORO, AL 35769
(931) 253-1110
Mailing address
PO BOX 681029, FRANKLIN, TN 37068-1029
(931) 253-1110
(931) 722-9919
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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