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Organization

PIONEER HEALTH SERVICES OF PATRICK COUNTY, INC.

Active
Other names
Pioneer Family Medical of Spencer
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH S MCNULTY III (CEO)
(601) 849-6440
Entity
Organization

Contact information

Practice address
19229 A. L. PHILPOTT HWY, SPENCER, VA 24165-0000
(276) 957-7007
(276) 957-7011
Mailing address
19229 A. L. PHILPOTT HWY, SPENCER, VA 24165-0000
(276) 957-7007
(276) 957-7011

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
07/18/2011
Last updated
07/18/2011
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