Fast Pace Mississippi, Pllc
NPI #1912664293 in Hazlehurst, Mississippi
Provider Information
- NPI Number
- 1912664293
- 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
- 533 LAKE ST
- City
- Hazlehurst
- State
- Mississippi
- ZIP Code
- 39083-2217
- Phone
- (601) 552-5253
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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