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Organization

FAST PACE MISSISSIPPI, PLLC

Active
Other names
Fast Pace Health
Organization subpart
No

Provider details

NPI number
Authorized official
SYDNI CLEMMONS (CREDENTIALING MANAGER)
(901) 351-1791
Entity
Organization

Contact information

Practice address
1020 HIGHWAY 62 E, MOUNTAIN HOME, AR 72653-3216
(931) 253-1101
Mailing address
PO BOX 306415, NASHVILLE, TN 37230-6415
(931) 253-9919
(931) 722-9919

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
12/13/2021
Last updated
02/06/2024
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