Organization
PEACHTREE HOSPICE OF GEORGIA, LLC
Active
Parent organization
PEACHTREE HOSPICE OF GEORGIA, LLC
Other names
BridgeWay Palliative Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEACHTREE HOSPICE OF GEORGIA, LLC
Authorized official
GARY W RASMUSSEN (PRESIDENT)
(678) 932-6302
Entity
Organization
Contact information
Practice address
354 CORPORATE CENTER CT, STOCKBRIDGE, GA 30281-6360
(678) 583-2269
(678) 583-2270
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
—
—
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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