| Fast Pace Medical Clinic Pllc | |
|
2960 Winfield Dunn Pkwy Kodak TN 37764-4309 | |
| (865) 213-7104 | |
| (865) 213-7105 |
| Full Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 2960 Winfield Dunn Pkwy, Kodak, Tennessee |
| Authorized Official Name and Position | Robert Benson (COO) |
| Authorized Official Contact | 9312531110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fast Pace Medical Clinic Pllc Po Box 306244 Nashville TN 37230-6244 Ph: () - | Fast Pace Medical Clinic Pllc 2960 Winfield Dunn Pkwy Kodak TN 37764-4309 Ph: (865) 213-7104 |
| NPI Number | 1689339053 |
|---|---|
| Provider Enumeration Date | 11/01/2021 |
| Last Update Date | 11/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689339053 | NPI | - | NPPES |
| 1515574 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Benchmark Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2946 Winfield Dunn Pkwy Ste 106, Kodak, TN 37764 Phone: 865-932-1088 Fax: 865-932-1454 |