institution
Fast Pace Mississippi, Pllc
Specialist in Iuka, Mississippi
NPI 1023688918

Fast Pace Mississippi, Pllc is a Specialist based in Nashville, MS. Fast Pace Mississippi, Pllc practices in Iuka, MS. The NPI Number for Fast Pace Mississippi, Pllc is 1023688918 and holds a License No. (Mississippi).

The current practice location address for Fast Pace Mississippi, Pllc is 1709 W Quitman St, Iuka, MS and can be reached out via phone at 901-351-1791.

Location: 1709 W Quitman St, Iuka, MS, 37230-6415
institution
Provider Profile Details
NPI Number
1023688918
Provider Name
Fast Pace Mississippi, Pllc
Credential
Provider Entity Type
Organization
Address
1709 W Quitman St, Iuka, MS, 37230-6415
Phone Number
901-351-1791
Fax Number
Provider Enumeration Date
07/01/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000 01 MS MEDICAID PENDING
institution
Provider Business Practice Location Address Details
Address
1709 W Quitman St
City
State
Zip
38852-7365
Phone Number
901-351-1791
Fax Number
person
Provider Business Mailing Address Details
Address
1709 W Quitman St
City
State
Zip
38852-7365
Phone Number
901-351-1791
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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