National Provider Identifier Database

PIONEER HEALTH SERVICES OF EARLY COUNTY LLC
Critical Access


Contact Information

PIONEER HEALTH SERVICES OF EARLY COUNTY, LLC
11740 COLUMBIA ST
BLAKELY, GA39823-2574
Phone: 601-849-1682
Fax: 601-849-1969
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Emergency Care 261QE0002X

* Indicates primary specialty

NPI Profile & details for PIONEER HEALTH SERVICES OF EARLY COUNTY, LLC

NPI Number 1699080762
Legal business name
LBN
PIONEER HEALTH SERVICES OF EARLY COUNTY, LLC
Authorized official JOSEPH MCNULTY - (CEO)
Entity Organization
Organization subpart No
Enumeration date 08/13/2010
Last updated 08/13/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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