| Pioneer Family And Pediatric Clinic | |
|
9427 Eastside Drive Ext. Suite A Newton MS 39345 | |
| (601) 849-6440 | |
| Not Available |
| Full Name | Pioneer Family And Pediatric Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 9427 Eastside Drive Ext. Suite A, Newton, Mississippi |
| Authorized Official Name and Position | Joseph S. Mcnulty (CEO) |
| Authorized Official Contact | 6018496440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Family And Pediatric Clinic Po Box 1100 Magee MS 39111-1100 Ph: (601) 849-6440 | Pioneer Family And Pediatric Clinic 9427 Eastside Drive Ext. Suite A Newton MS 39345 Ph: (601) 849-6440 |
| NPI Number | 1669743233 |
|---|---|
| Provider Enumeration Date | 01/13/2012 |
| Last Update Date | 01/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669743233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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