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1851050579
FAST PACE MISSISSIPPI, PLLC
KOSCIUSKO, MS
NPI
1851050579
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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
2021-12-09
Last Update Date
2021-12-09
Business Address
FAST PACE MISSISSIPPI, PLLC
50 VETERANS MEMORIAL DR
KOSCIUSKO, MS 39090-3424
Phone number: 931-253-1101
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Mailing Address
FAST PACE MISSISSIPPI, PLLC
PO BOX 306415
NASHVILLE, TN 37230-6415
Phone number: 931-253-1110
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