# CRH PHYSICIAN PRACTICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CRH Medical Specialty Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760856405
- **Authorized official:** LAVONDA CRAVEY (VP OF CORPORATE REVENUE CYCLE)
- **Authorized official phone:** (912) 384-1900

## Contact information

- **Practice address:** 200 DOCTORS DR, SUITE S, DOUGLAS, GA 31533-2201
- **Practice address phone:** (912) 384-2353
- **Practice address fax:** (912) 383-4679
- **Mailing address:** PO BOX 1377, DOUGLAS, GA 31534-1377
- **Mailing address phone:** (912) 384-1477

## Taxonomy

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

## Other

- **Enumeration date:** 11/18/2015
- **Last updated:** 03/30/2022