Organization
PIONEER HEALTH SERVICES OF STOKES COUNTY, INC.
Active
Other names
Pioneer Family Medical of Walnut Cove
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH S. MCNULTY III (CEO)
(601) 849-6440
Entity
Organization
Contact information
Practice address
1072 N MAIN ST, WALNUT COVE, NC 27052-9312
(336) 591-7001
(336) 591-7007
Mailing address
110 PIONEER WAY, MAGEE, MS 39111-5501
(601) 849-6440
(601) 849-1318
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
H1065
NC
Other
Enumeration date
06/11/2012
Last updated
12/18/2014
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