| Fast Pace Medical Clinic Pllc | |
|
150 Sam Walton Dr Ste 600 Sparta TN 38583-8814 | |
| (931) 739-4000 | |
| (931) 739-4001 |
| Full Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 150 Sam Walton Dr Ste 600, Sparta, 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 150 Sam Walton Dr Ste 600 Sparta TN 38583-8814 Ph: (931) 739-4000 |
| NPI Number | 1578228771 |
|---|---|
| Provider Enumeration Date | 11/02/2021 |
| Last Update Date | 11/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578228771 | NPI | - | NPPES |
| 1515574 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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