Crh Physician Practices LLC
Internal Medicine in Douglas, GA. Organization (NPI-2).
NPI number1457722720
StatusActive
Last updated in NPPESMar 30, 2022
Details
- NPI
- 1457722720
- Entity type
- Organization (NPI-2)
- Legal business name
- Crh Physician Practices LLC
- Organization subpart
- No
- Enumeration date
- Oct 13, 2015
- Certification date
- Mar 30, 2022
- Last updated
- Mar 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Crh School Based Health Clinic (Doing Business As)
Practice location
901 Connector 206 NDouglas, GA 31533-7150
Phone 912-389-6885 · Fax 912-393-1006
Mailing address
Po Box 1377Douglas, GA 31534-1377
Phone 912-384-1477 · Fax 912-384-1470
Authorized official
Lavonda Cravey
Vp Of Corporate Revenue Cycle
9123841900
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