Organization
PIONEER HEALTH SERVICES OF MONROE COUNTY, INC
Active
Other names
Chestnut Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH S MCNULTY III CRT (PRESIDENT)
(691) 849-4112
Entity
Organization
Contact information
Practice address
500 S CHESTNUT ST, ABERDEEN, MS 39730-3337
(601) 369-9525
Mailing address
PO BOX 1100, MAGEE, MS 39111-1100
(601) 849-6440
(601) 849-7557
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015888
—
MS
Enumeration date
06/15/2006
Last updated
06/02/2008
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