| NPI | 1669724183 |
|---|---|
| Doing Business As | PIONEER PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH SYLVESTER MCNULTY CEO 601-849-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MS 13-033) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |