Fast Pace Mississippi, Pllc
NPI #1447769559 in Ripley, Mississippi
Provider Information
- NPI Number
- 1447769559
- Entity Type
- Organization
- Organization Name
- Fast Pace Mississippi, Pllc
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Sep 21, 2017
- Last Updated
- Oct 15, 2021
Practice Location
- Address
- 517 CITY AVE S
- City
- Ripley
- State
- Mississippi
- ZIP Code
- 38663
- Phone
- (662) 587-8206
Authorized Official
- Name
- SYDNI CLEMMONS
- Title
- CREDENTIALING MANAGER
- Phone
- (901) 351-1791
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
| Clinic/Center - Rural Health — Rural Health |
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