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Organization

PIONEER HEALTH SERVICES OF CHOCTAW COUNTY, LLC

Active
Other names
Pioneer Family Medical of Ackerman
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH S MCNULTY III (CEO)
(662) 285-9050
Entity
Organization

Contact information

Practice address
64 N LOUISVILLE ST, ACKERMAN, MS 39735-9217
(662) 285-9050
Mailing address
64 N LOUISVILLE ST, ACKERMAN, MS 39735-9217
(662) 285-9050

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
MS
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
09/08/2011
Last updated
02/26/2014
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