Pioneer Health Services of Choctaw County, LLC

NPI #1457696403 in Ackerman, Mississippi

Provider Information

NPI Number: 1457696403
Entity Type: Organization
Organization Name: Pioneer Health Services of Choctaw County, LLC
Primary Specialty: Clinic/Center
Enumeration Date: Dec 3, 2012
Last Updated: Dec 3, 2012

Practice Location

Address: 8613 MS HIGHWAY 12
City: Ackerman
State: Mississippi
ZIP Code: 39735-8917
Phone: (601) 849-6440

Authorized Official

Name: JOSEPH S MCNULTY III
Title: CEO
Phone: (601) 849-6440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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