# CRH PHYSICIAN PRACTICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CRH Industrial Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700137684
- **Authorized official:** LAVONDA CRAVEY (VP OF CORPORATE REVENUE CYCLE)
- **Authorized official phone:** (912) 384-1900

## Contact information

- **Practice address:** 100 DOCTORS DR, STE 102, DOUGLAS, GA 31533-2210
- **Practice address phone:** (912) 260-5400
- **Practice address fax:** (912) 260-5177
- **Mailing address:** PO BOX 1377, DOUGLAS, GA 31534-1377
- **Mailing address phone:** (912) 384-1477
- **Mailing address fax:** (912) 384-1470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2012
- **Last updated:** 03/30/2022