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Organization

CRH PHYSICIAN PRACTICES, LLC

Active
Parent organization
COFFEE REGIONAL MEDICAL CENTER, INC
Other names
CRH Hazelhurst Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
COFFEE REGIONAL MEDICAL CENTER, INC
Authorized official
LAVONDA CRAVEY (CONTROLLER)
(912) 384-1900
Entity
Organization

Contact information

Practice address
11 CROSS ST, HAZLEHURST, GA 31539-6427
(912) 384-2500
(912) 383-6788
Mailing address
1100 WARD STREET EXT W, DOUGLAS, GA 31533-1902
(912) 260-5379
(912) 384-1470

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
03/15/2017
Last updated
03/15/2017
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