| Pioneer Pediatric Clinic | |
|
502 S Chestnut St Aberdeen MS 39730-3337 | |
| (601) 849-6440 | |
| (601) 849-1318 |
| Full Name | Pioneer Pediatric Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 502 S Chestnut St, Aberdeen, Mississippi |
| Authorized Official Name and Position | Joseph Sylvester Mcnulty (CEO) |
| Authorized Official Contact | 6018496440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Pediatric Clinic 502 S Chestnut St Aberdeen MS 39730-3337 Ph: (601) 849-6440 | Pioneer Pediatric Clinic 502 S Chestnut St Aberdeen MS 39730-3337 Ph: (601) 849-6440 |
| NPI Number | 1669724183 |
|---|---|
| Provider Enumeration Date | 10/08/2012 |
| Last Update Date | 10/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669724183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 13-033 (Mississippi) | Primary |
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Mrh Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 502 Jackson St Ste 5, Aberdeen, MS 39730 Phone: 219-395-0667 |