Organization
PIONEER HEALTH SERVICES OF STOKES COUNTY, INC.
Active
Other names
Pioneer Family Medical of Danbury
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH S MCNULTY III (CEO)
(601) 849-6440
Entity
Organization
Contact information
Practice address
1020 HOSPICE DRIVE, DANBURY, NC 27016-0000
(336) 593-8281
(336) 593-5282
Mailing address
1020 HOSPICE DRIVE, DANBURY, NC 27016-0000
(336) 593-8281
(336) 593-5282
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5918563
—
NC
Enumeration date
07/01/2011
Last updated
05/16/2013
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