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Organization

PIONEER HEALTH SERVCES OF PATRICK COUNTY, INC.

Active
Other names
Pioneer Family Medical
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH S MCNULTY III (CEO/PRESIDENT)
(601) 849-4112
Entity
Organization

Contact information

Practice address
835 WOODLAND DR, STUART, VA 24171-1586
(276) 694-6677
(276) 694-6827
Mailing address
PO BOX 1100, MAGEE, MS 39111-1100
(601) 849-1682
(601) 849-1969

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101049407
VA

Other

Enumeration date
07/07/2008
Last updated
08/06/2009
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