Organization
PIONEER HEALTH CARE , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD H MASSEY NP (OWNER)
(601) 550-3153
Entity
Organization
Contact information
Practice address
4297 HWY 42, BASSFIELD, MS 39421
(601) 550-3153
(601) 901-6061
Mailing address
15 KEYSTONE DR STE E, HATTIESBURG, MS 39402-6124
(601) 550-3153
(601) 901-6061
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
R814032
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124846
—
MS
Enumeration date
12/14/2008
Last updated
09/29/2024
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