Organization
PIONEER HEALTH SERVICES OF EARLY COUNTY, LLC
Active
Other names
Pioneer Family Medical of Early
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH S MCNULTY III (CEO)
(601) 849-1682
Entity
Organization
Contact information
Practice address
11045 COLUMBIA ST, SUITE B, BLAKELY, GA 39823-3447
(229) 723-4313
(229) 723-3734
Mailing address
11045 COLUMBIA ST, SUITE B, BLAKELY, GA 39823-3447
(229) 723-4313
(229) 723-3734
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2010
Last updated
09/30/2011
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