NPI | 1144668195 |
---|---|
Doing Business As | PIONEER FAMILY MEDICAL OF KING |
Entity Type | Organization |
Authorized Contact | JOSEPH S MCNULTY CEO 601-849-6440 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2013-06-12 |
Last Update Date | 2016-10-05 |