| Name: | Fast Pace Medical Clinic, PLLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 Sep 2009 (15 years ago) |
| Entity Number: | 000-642-288 |
| Register Number: | 000642288 |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Tennessee |
| Principal Address: | 992 Davidson DrSte BNashville, TN 37205 |
| Principal Mailing Address: | P.O. Box 681029Franklin, TN 37068 |
| Registered Office Street Address: | 2 North Jackson Street, Suite 605Montgomery, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447077441 | 2024-09-23 | 2024-09-23 | PO BOX 306491, NASHVILLE, TN, 372306491, US | 517 S. MCKENZIE ST, FOLEY, AL, 36535, US | |||||||||||||||||||
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| Phone | +1 931-253-1110 |
| Fax | 9317229919 |
| Phone | +1 251-200-4499 |
| Fax | 2512004500 |
Authorized person
| Name | MELISSA HARLAN |
| Role | DIRECTOR OF CREDENTIALING |
| Phone | 6159489639 |
Taxonomy
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Cogency Global Inc. | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
