Organization
FAST PACE MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BENSON (COO)
(931) 253-1110
Entity
Organization
Contact information
Practice address
9171 HIGHWAY 119, ALABASTER, AL 35007-5342
(931) 253-1110
Mailing address
PO BOX 306244, NASHVILLE, TN 37230-6244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515574
—
TN
Enumeration date
11/02/2021
Last updated
09/19/2022
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