Fast Pace Mississippi, Pllc | |
619 S State St Clarksdale MS 38614-6319 | |
(662) 966-1012 | |
Not Available |
Full Name | Fast Pace Mississippi, Pllc |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 619 S State St, Clarksdale, Mississippi |
Authorized Official Name and Position | Sydni Clemmons (CREDENTIALING MANAGER) |
Authorized Official Contact | 9013511791 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fast Pace Mississippi, Pllc Po Box 306415 Nashville TN 37230-6415 Ph: () - | Fast Pace Mississippi, Pllc 619 S State St Clarksdale MS 38614-6319 Ph: (662) 966-1012 |
NPI Number | 1013674373 |
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Provider Enumeration Date | 11/22/2021 |
Last Update Date | 11/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013674373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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