Organization
CRH PHYSICIAN PRACTICES, LLC
Active
Other names
CRH Urology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LAVONDA CRAVEY (VP OF CORPORATE REVENUE CYCLE)
(912) 384-1900
Entity
Organization
Contact information
Practice address
2007 OCILLA RD, DOUGLAS, GA 31533-2229
(912) 384-0162
(912) 384-4863
Mailing address
PO BOX 1377, DOUGLAS, GA 31534-1377
(912) 384-1477
(912) 384-1470
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
03/30/2022
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