Organization
PIONEER HEALTH SERVICES OF MONROE COUNTY, INC
Active
Other names
Pioneer Pediatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH SYLVESTER MCNULTY III (CEO)
(601) 849-6440
Entity
Organization
Contact information
Practice address
502 S CHESTNUT ST, ABERDEEN, MS 39730-3337
(601) 849-6440
(601) 849-1318
Mailing address
502 S CHESTNUT ST, ABERDEEN, MS 39730-3337
(601) 849-6440
(601) 849-1318
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
13-033
MS
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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