Fast Pace Medical Clinic Pllc

NPI #1952801334 in Hanover, Indiana

Provider Information

NPI Number: 1952801334
Entity Type: Organization
Organization Name: Fast Pace Medical Clinic Pllc
Primary Specialty: Specialist
Enumeration Date: Feb 13, 2018
Last Updated: Jul 15, 2021

Practice Location

Address: 4152 W STATE ROAD 56
City: Hanover
State: Indiana
ZIP Code: 47243-9070
Phone: (812) 762-4510

Authorized Official

Name: SYDNI CLEMMONS
Title: CREDENTIALING MANAGER
Phone: (901) 351-1791

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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