Organization
CRH PHYSICIAN PRACTICES LLC
Active
Other names
CRH Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD LWIS JR. (VICE PRESIDENT)
(912) 384-1900
Entity
Organization
Contact information
Practice address
100 DOCTORS DR, STE 101, DOUGLAS, GA 31533-2210
(912) 389-1558
(912) 389-1558
Mailing address
PO BOX 1377, DOUGLAS, GA 31534-1377
(912) 384-1477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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