# CCH PHYSICIAN GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295128064
- **Authorized official:** CINDY BIERSCHENK (CFO)
- **Authorized official phone:** (912) 685-1769

## Contact information

- **Practice address:** 400 CEDAR ST, METTER, GA 30439-3338
- **Practice address phone:** (912) 685-5741
- **Mailing address:** PO BOX 597, METTER, GA 30439-0597
- **Mailing address phone:** (912) 685-5741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |

## Other

- **Enumeration date:** 03/18/2015
- **Last updated:** 03/18/2015
