Organization
SILVERLEAF HOSPICE, INC
Active
Other names
BridgeWay Palliative Care
Organization subpart
No
Provider details
NPI number
Authorized official
GARY W RASMUSSEN (PRESIDENT)
(678) 932-6302
Entity
Organization
Contact information
Practice address
1731 MERIWEATHER DR, SUITE 101, WATKINSVILLE, GA 30677-7746
(706) 546-0286
(706) 546-0289
Mailing address
1395 S MARIETTA PKWY SE, BLDG 400 SUITE 116, MARIETTA, GA 30067-4440
(678) 932-6302
(678) 402-5246
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
108-0297-H
GA
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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