Bethany Missionary Baptist Church
Bethany Missionary Baptist Church is a PACE Provider Organization in Ty Ty, Georgia. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
146 Ty Ty Sycamore RdTy Ty, GA 31795-3314
Phone: (678) 986-1436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| PACE Provider Organization (primary) | Taxonomy 251T00000X |
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Record details
| NPI number | 1164353405 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Samuel Pridgon — Pastor/Ceo · (678) 986-1436 |
| NPI enumerated | May 26, 2026 |
| Last updated in NPPES | May 26, 2026 |
| Certification date | May 26, 2026 |
| Mailing address | 146 Ty Ty Sycamore Rd, Ty Ty, GA 31795-3314 |