Organization
PIONEER HEALTH SERVICES OF ONEIDA, LLC
Active
Other names
Family Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH S MCNULTY III (CEO)
(601) 849-6440
Entity
Organization
Contact information
Practice address
20445 ALBERTA ST, ONEIDA, TN 37841-3509
(423) 569-2754
(423) 569-2756
Mailing address
20445 ALBERTA ST, ONEIDA, TN 37841-3509
(423) 569-2754
(423) 569-2756
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
07/15/2015
Last updated
01/25/2016
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