Organization
CRH PHYSICIAN PRACTICES LLC
Active
Other names
CRH Women's Center
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BURNAM (ASSISTANT DIRECTOR)
(912) 260-5379
Entity
Organization
Contact information
Practice address
195 E TOLLISON ST STE A, SUITE A & B, BAXLEY, GA 31513-0174
(912) 384-2500
Mailing address
PO BOX 14804, BELFAST, ME 04915-4043
(912) 384-2500
(912) 383-6788
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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