NPI | 1194149690 |
---|---|
Doing Business As | PIONEER FAMILY MEDICAL OF ONEIDA ALBERTA STREET |
Entity Type | Organization |
Authorized Contact | JOSEPH S MCNULTY CEO 601-849-6440 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2014-02-05 |
Last Update Date | 2014-02-05 |