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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 : 1548003155
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAST PACE MEDICAL CLINIC PLLC
Provider Business Mailing Address
First Line : 6550 CAROTHERS PKWY STE 225
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-6662
Country : US
Telephone Number : 615-364-1773
Fax Number :
Provider Business Practice Location Address
First Line : 11060 LEBANON RD
Second Line :
City : MOUNT JULIET
State : TN
Zip : 37122-5525
Country : US
Telephone Number : 615-288-7043
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MELISSA HARLAN
Credential :
Telephone Number : 615-948-9639
Provider Enumeration Date : 06/13/2024
Last Update Date : 06/13/2024

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Directions to “FAST PACE MEDICAL CLINIC PLLC ” Practice Location

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