NPI 1023688918

Fast Pace Mississippi, PLLC

Organisation Specialist Iuka, MS

Practice location

Address: 1709 W Quitman St, Iuka, MS 38852-7365
Phone: (901) 351-1791
Mailing address: PO Box 306415, Nashville, TN 37230-6415

Authorised official

Name: Sydni Clemmons
Title: Credentialing Manager
Phone: (901) 351-1791

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1023688918
Entity type: Organization
NPI issued: 1 Jul 2021
Record last updated: 1 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.