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1013674373
FAST PACE MISSISSIPPI, PLLC
CLARKSDALE, MS
NPI
1013674373
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Entity Type
Organization
Authorized Contact
SYDNI CLEMMONS
Credentialing Manager
901-351-1791
Organization Subpart ?
No
Primary Taxonomy
261QR1300X Clinic/Center Rural Health
Enumeration Date
2021-11-22
Last Update Date
2021-11-22
Business Address
FAST PACE MISSISSIPPI, PLLC
619 S STATE ST
CLARKSDALE, MS 38614-6319
Phone number: 662-966-1012
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Mailing Address
FAST PACE MISSISSIPPI, PLLC
PO BOX 306415
NASHVILLE, TN 37230-6415
Phone number:
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