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Organization
PIONEER HEALTH GROUP LLC
Active
Organization
PIONEER HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACY B BALL (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(828) 773-4483
Entity
Organization
Contact information
Practice address
15129 OXFORD HOLW, HUNTERSVILLE, NC 28078-5511
(828) 773-4483
Mailing address
15129 OXFORD HOLLOW RD, HUNTERSVILLE, NC 28078-5511
(828) 773-4483
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891156071
—
NC
Enumeration date
03/15/2016
Last updated
03/22/2016
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