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Organization
CRH PHYSICIAN PRACTICES LLC
Active
Organization
CRH PHYSICIAN PRACTICES LLC
Active
Other names
CRH Nicholls Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI LEWIS (CEO)
(912) 384-1900
Entity
Organization
Contact information
Practice address
804 N LIBERTY ST, NICHOLLS, GA 31554
(912) 384-4024
(912) 384-4040
Mailing address
1100 WARD STREET EXT W, DOUGLAS, GA 31533-1902
(912) 384-1477
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/29/2012
Last updated
07/24/2018
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