| Fast Pace Medical Clinic PLLC | |
|
510 N Main St Rocky Top TN 37769-2818 | |
| (865) 208-9582 | |
| (865) 205-9583 |
| Full Name | Fast Pace Medical Clinic PLLC |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 510 N Main St, Rocky Top, 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 | Fast Pace Medical Clinic PLLC 510 N Main St Rocky Top TN 37769-2818 Ph: (865) 208-9582 |
| NPI Number | 1184381816 |
|---|---|
| Provider Enumeration Date | 11/17/2021 |
| Last Update Date | 11/17/2021 |
| Certification Date | 11/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184381816 | NPI | - | NPPES |
| 1515574 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |