Fast Pace Medical Clinic PLLC
Organization Active NPI Dermatology Physician · Tullahoma, TN
NPI 1073013306 · NPPES record last updated Jun 21, 2024
Key facts
- NPI
- 1073013306
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- Legal business name
- FAST PACE MEDICAL CLINIC PLLC
- Practice address
- 600 N Jackson St
Tullahoma, TN 37388-3542 - Phone
- (931) 253-1110
- NPI assigned
- Feb 13, 2018
- Organization subpart
- No
Authorized official
- Name
- Melissa Harlan
- Title
- Director
- Phone
- (615) 948-9639
Corporate family (same tax ID) 20
National Provider Directory
- Tax ID family
- Fast Pace Medical Clinic PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | Yes | ||
| Family Medicine Physician |
207Q00000X |
Addresses
Primary practice location
600 N Jackson St
Tullahoma, TN 37388-3542
Mailing address
6550 Carothers Pkwy Ste 225
Franklin, TN 37067-6662
Phone (931) 253-1110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1515574 | Medicaid | TN |
Other providers in Tullahoma, TN
- Miranda Ezell
- Family Practice Center of Tullahoma LLC
- Nicholas Fannin
- Alicia Brooke Fanning
- Susan Lee Farris
- Fast Pace Medical Clinic PLLC
- Haley Rae Feiler
- Rhonda Kaye Felts
- Michael Feltz
- Brett L Ferrell
All providers in Tullahoma, TN · Dermatology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.