# CRH PHYSICIAN PRACTICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CRH Nicholls Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295095925
- **Authorized official:** VICKI LEWIS (CEO)
- **Authorized official phone:** (912) 384-1900

## Contact information

- **Practice address:** 804 N LIBERTY ST, NICHOLLS, GA 31554
- **Practice address phone:** (912) 384-4024
- **Practice address fax:** (912) 384-4040
- **Mailing address:** 1100 WARD STREET EXT W, DOUGLAS, GA 31533-1902
- **Mailing address phone:** (912) 384-1477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/29/2012
- **Last updated:** 07/24/2018