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CRH PHYSICIAN PRACTICES LLC NPI 1366784134


NPI Information

NPI: 1366784134
Provider Name: CRH PHYSICIAN PRACTICES LLC

Doing Business As: CRH ONCOLOGY GROUP

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 11D2138883

Address:
903 WARD ST W STE B
DOUGLAS, GA
ZIP 31533
Phone: (912) 384-4111
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CRH PHYSICIAN PRACTICES LLC is a multi-specialty clinic center in Douglas, GA. CRH PHYSICIAN PRACTICES LLC NPI is 1366784134. The provider is registered as an organization entity type.
The provider Is Doing Business As Crh Oncology Group.

The provider's business location address is:

903 WARD ST W STE B
DOUGLAS, GA
ZIP 31533-536
Phone: (912) 384-4111
Fax: (912) 384-4115

The provider's authorized official is Lavonda Cravey .
The authorized official title is Vp Of Corporate Revenue Cycle and has the following contact phone number (912) 384-1477.

The CLIA number assigned to this NPI record is 11D2138883 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2013 and was last updated on 3/30/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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