Fast Pace Mississippi, Pllc
NPI #1023688918 in Iuka, Mississippi
Provider Information
- NPI Number
- 1023688918
- Entity Type
- Organization
- Organization Name
- Fast Pace Mississippi, Pllc
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 1, 2021
- Last Updated
- Jul 1, 2021
Practice Location
- Address
- 1709 W QUITMAN ST
- City
- Iuka
- State
- Mississippi
- ZIP Code
- 38852-7365
- Phone
- (901) 351-1791
Authorized Official
- Name
- SYDNI CLEMMONS
- Title
- CREDENTIALING MANAGER
- Phone
- (901) 351-1791
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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