Pioneer Health Services of Early County, LLC
Organization Active NPI Clinic/Center · Arlington, GA
NPI 1154669554 · NPPES record last updated Jan 21, 2013
Key facts
- NPI
- 1154669554
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 049-667 (GA)
- Legal business name
- PIONEER HEALTH SERVICES OF EARLY COUNTY, LLC
- Practice address
- 104 Maxwell St SE
Arlington, GA 39813-8714 - Phone
- (601) 849-6440
- Fax
- (601) 849-1318
- NPI assigned
- Jan 21, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. Joseph Sylvester McNulty III
- Title
- Ceo
- Phone
- (601) 849-6440
National Provider Directory
Locations
104 Maxwell St SE
Arlington, GA 39813
Phone (229) 725-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 049-667 | GA | Yes |
Addresses
Primary practice location
104 Maxwell St SE
Arlington, GA 39813-8714
Mailing address
104 Maxwell St SE
Arlington, GA 39813-8714
Phone (601) 849-6440
Other names
- Pioneer Family Medical of Arlington
Other providers in Arlington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.