Fast Pace Mississippi, Pllc
NPI #1124785407 in Corinth, Mississippi
Provider Information
- NPI Number
- 1124785407
- Entity Type
- Organization
- Organization Name
- Fast Pace Mississippi, Pllc
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Nov 22, 2021
- Last Updated
- Nov 22, 2021
Practice Location
- Address
- 1400 HIGHWAY 72 E
- City
- Corinth
- State
- Mississippi
- ZIP Code
- 38834-6565
- Phone
- (662) 664-5537
Authorized Official
- Name
- SYDNI CLEMMONS
- Title
- CREDENTIALING MANAGER
- Phone
- (901) 351-1791
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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