Organization
PIONEER HEALTH SERVICES OF CHOCTAW COUNTY, LLC
Active
Other names
Pioneer Family Medical of Weir
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH S MCNULTY III (CEO)
(662) 547-9407
Entity
Organization
Contact information
Practice address
780 MAIN STREET, WEIR, MS 39772-0000
(662) 547-9407
(662) 547-9408
Mailing address
780 MAIN STREET, WEIR, MS 39772-0000
(662) 547-9407
(662) 547-9408
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
MS
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2011
Last updated
02/26/2014
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