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Organization

PIONEER HEALTH SERVICES OF EARLY COUNTY, LLC

Active
Other names
Pioneer Family Medical of Arlington
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH SYLVESTER MCNULTY III (CEO)
(601) 849-6440
Entity
Organization

Contact information

Practice address
104 MAXWELL ST SE, ARLINGTON, GA 39813-8714
(601) 849-6440
(601) 849-1318
Mailing address
104 MAXWELL ST SE, ARLINGTON, GA 39813-8714
(601) 849-6440
(601) 849-1318

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
049-667
GA

Other

Enumeration date
01/21/2013
Last updated
01/21/2013
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