# CRH PHYSICIAN PRACTICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COFFEE REGIONAL MEDICAL CENTER, INC
- **Other names:** CRH Hazelhurst Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1245771823
- **Legal business name:** COFFEE REGIONAL MEDICAL CENTER, INC
- **Authorized official:** LAVONDA CRAVEY (CONTROLLER)
- **Authorized official phone:** (912) 384-1900

## Contact information

- **Practice address:** 11 CROSS ST, HAZLEHURST, GA 31539-6427
- **Practice address phone:** (912) 384-2500
- **Practice address fax:** (912) 383-6788
- **Mailing address:** 1100 WARD STREET EXT W, DOUGLAS, GA 31533-1902
- **Mailing address phone:** (912) 260-5379
- **Mailing address fax:** (912) 384-1470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/15/2017
- **Last updated:** 03/15/2017