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NPI Code Detail

MEDICARE: FAST PACE MEDICAL CLINIC PLLC

MEDICARE: FAST PACE MEDICAL CLINIC PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1316789969
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAST PACE MEDICAL CLINIC PLLC
Provider Business Mailing Address
First Line : PO BOX 306244
Second Line :
City : NASHVILLE
State : TN
Zip : 37230-6244
Country : US
Telephone Number : 931-253-1110
Fax Number :
Provider Business Practice Location Address
First Line : 756 COSBY HWY
Second Line :
City : NEWPORT
State : TN
Zip : 37821-3455
Country : US
Telephone Number : 423-237-6546
Fax Number : 423-237-6579
Authorized Official
Title or Position : DIRECTOR
Name : MELISSA HARLAN
Credential :
Telephone Number : 615-948-9639
Provider Enumeration Date : 06/12/2024
Last Update Date : 06/21/2024

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Directions to “FAST PACE MEDICAL CLINIC PLLC ” Practice Location

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