Organization
CRH PHYSICIAN PRACTICES LLC
Active
Other names
CRH Surgical Group
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BURNAM (ASSISTANT DIRECTOR)
(912) 260-5379
Entity
Organization
Contact information
Practice address
1405 ALICE ST, WAYCROSS, GA 31501-4528
(912) 384-5832
(912) 383-8279
Mailing address
PO BOX 14804, BELFAST, ME 04915-4043
(912) 384-5832
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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