# PIONEER HEALTH SERVICES OF MONROE COUNTY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pioneer Pediatric Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669724183
- **Authorized official:** MR. JOSEPH SYLVESTER MCNULTY III (CEO)
- **Authorized official phone:** (601) 849-6440

## Contact information

- **Practice address:** 502 S CHESTNUT ST, ABERDEEN, MS 39730-3337
- **Practice address phone:** (601) 849-6440
- **Practice address fax:** (601) 849-1318
- **Mailing address:** 502 S CHESTNUT ST, ABERDEEN, MS 39730-3337
- **Mailing address phone:** (601) 849-6440
- **Mailing address fax:** (601) 849-1318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 13-033 | MS | Yes |

## Other

- **Enumeration date:** 10/08/2012
- **Last updated:** 10/08/2012