| Fast Pace Medical Clinic Pllc | |
|
600 N Jackson St Tullahoma TN 37388-3542 | |
| (931) 253-1110 | |
| Not Available |
| Full Name | Fast Pace Medical Clinic Pllc |
|---|---|
| Speciality | Dermatology |
| Location | 600 N Jackson St, Tullahoma, Tennessee |
| Authorized Official Name and Position | Melissa Harlan (DIRECTOR) |
| Authorized Official Contact | 6159489639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fast Pace Medical Clinic Pllc 6550 Carothers Pkwy Ste 225 Franklin TN 37067-6662 Ph: (931) 253-1110 | Fast Pace Medical Clinic Pllc 600 N Jackson St Tullahoma TN 37388-3542 Ph: (931) 253-1110 |
| NPI Number | 1073013306 |
|---|---|
| Provider Enumeration Date | 02/13/2018 |
| Last Update Date | 06/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073013306 | NPI | - | NPPES |
| 1515574 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | (* (Not Available)) | Primary |
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