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1689331860
FAST PACE MISSISSIPPI, PLLC
VICKSBURG, MS
NPI
1689331860
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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
2059 HIGHWAY 61 N
VICKSBURG, MS 39183-8227
Phone number: 601-429-1144
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Mailing Address
FAST PACE MISSISSIPPI, PLLC
PO BOX 306415
NASHVILLE, TN 37230-6415
Phone number:
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