Organization
PIONEER COMMUNITY CARE LLC
Active
Other names
Pioneer community Care
Organization subpart
No
Provider details
NPI number
Authorized official
AYNADDIS FEKADU (APRN)
(706) 389-5513
Entity
Organization
Contact information
Practice address
740 PRINCE AVE STE 8B, ATHENS, GA 30606-5903
(706) 389-5513
Mailing address
740 PRINCE AVE STE 8B, ATHENS, GA 30606-5903
(706) 389-5513
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2019
Last updated
01/18/2024
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