| NPI | 1669743233 |
|---|---|
| Doing Business As | PIONEER FAMILY AND PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH S. MCNULTY CEO 601-849-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |