| Fast Pace Medical Clinic Pllc | |
|
1359 W Market St Bolivar TN 38008-1702 | |
| (731) 361-1003 | |
| (731) 361-1004 |
| Full Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1359 W Market St, Bolivar, Tennessee |
| Authorized Official Name and Position | Robert Benson (COO) |
| Authorized Official Contact | 9312531110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fast Pace Medical Clinic Pllc Po Box 306244 Nashville TN 37230-6244 Ph: (931) 253-1110 | Fast Pace Medical Clinic Pllc 1359 W Market St Bolivar TN 38008-1702 Ph: (731) 361-1003 |
| NPI Number | 1598420929 |
|---|---|
| Provider Enumeration Date | 11/01/2021 |
| Last Update Date | 11/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598420929 | NPI | - | NPPES |
| 1515574 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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› Verified 3 days ago
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