Organization
PIONEER HEALTH SERVICES OF EARLY COUNTY, LLC
Active
Other names
Pioneer Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH S MCNULTY III (CEO)
(229) 723-8300
Entity
Organization
Contact information
Practice address
11168 COLUMBIA ST, BLAKELY, GA 39823-3474
(229) 723-4313
Mailing address
11168 COLUMBIA ST, BLAKELY, GA 39823-3474
(229) 723-4313
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2011
Last updated
02/26/2014
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