Organization
PIONEER HEALTH SERVICES OF EARLY COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH S MCNULTY III (CEO)
(601) 849-6440
Entity
Organization
Contact information
Practice address
11168 COLUMBIA ST, SUITE B, BLAKELY, GA 39823-3474
(229) 723-8300
Mailing address
11168 COLUMBIA ST, SUITE B, BLAKELY, GA 39823-3474
(229) 723-8300
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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