Organization
CRH VEIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUY THOMAS YOUNG MD (OWNER/MD)
(229) 947-1492
Entity
Organization
Contact information
Practice address
902 N 7TH ST, CORDELE, GA 31015-3234
(229) 276-3600
(229) 276-3362
Mailing address
PO BOX 4867, MACON, GA 31208-4867
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/12/2013
Last updated
09/13/2013
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