Fast Pace Mississippi, Pllc
NPI #1548929268 in Philadelphia, Mississippi
Provider Information
- NPI Number
- 1548929268
- Entity Type
- Organization
- Organization Name
- Fast Pace Mississippi, Pllc
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Dec 9, 2021
- Last Updated
- Dec 9, 2021
Practice Location
- Address
- 1017 W BEACON ST
- City
- Philadelphia
- State
- Mississippi
- ZIP Code
- 39350-3218
- Phone
- (931) 253-1110
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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