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Organization

BETHANY HOSPICE AND PALLIATIVE CARE OF COASTAL GEORGIA, LLC

Active
Other names
Affinity Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRISTOPHER SMITH (CEO)
(205) 949-0400
Entity
Organization

Contact information

Practice address
109 S DUVAL ST, CLAXTON, GA 30417-2029
(912) 739-0058
(912) 739-0350
Mailing address
135 GEMINI CIR STE 202, BIRMINGHAM, AL 35209-5842
(912) 739-0058
(912) 739-0350

Taxonomy

Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
054-0285-H
GA
251G00000X
Community Based Hospice Care Agency
Primary
054-0285-H
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7614683444A
GA
Enumeration date
03/08/2013
Last updated
10/23/2025
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