| Pioneer Family Care | |
|
11168 Columbia St Blakely GA 39823-3474 | |
| (229) 723-4313 | |
| Not Available |
| Full Name | Pioneer Family Care |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 11168 Columbia St, Blakely, Georgia |
| Authorized Official Name and Position | Joseph S Mcnulty (CEO) |
| Authorized Official Contact | 2297238300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Family Care 11168 Columbia St Blakely GA 39823-3474 Ph: (229) 723-4313 | Pioneer Family Care 11168 Columbia St Blakely GA 39823-3474 Ph: (229) 723-4313 |
| NPI Number | 1205110814 |
|---|---|
| Provider Enumeration Date | 09/30/2011 |
| Last Update Date | 02/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205110814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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