National Provider Identifier Database

FAST PACE MEDICAL CLINIC PLLC
Rural Health


Contact Information

FAST PACE MEDICAL CLINIC PLLC
321 E CENTRAL AVE
JAMESTOWN, TN38556-4103
Phone: 931-879-0206
Fax: 931-879-0207
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for FAST PACE MEDICAL CLINIC PLLC

NPI Number 1427713890
Legal business name
LBN
FAST PACE MEDICAL CLINIC PLLC
Authorized official ROBERT BENSON - (COO)
Entity Organization
Organization subpart No
Enumeration date 11/01/2021
Last updated 11/01/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • TN Medicaid: 1515574

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for FAST PACE MEDICAL CLINIC PLLC

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