Fast Pace Mississippi, Pllc
NPI #1407513781 in Iuka, Mississippi
Provider Information
- NPI Number
- 1407513781
- 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
- 1709 W QUITMAN ST
- City
- Iuka
- State
- Mississippi
- ZIP Code
- 38852-7365
- Phone
- (662) 443-4122
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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