| Crh Nicholls Clinic | |
|
804 N Liberty St Nicholls GA 31554 | |
| (912) 384-4024 | |
| (912) 384-4040 |
| Full Name | Crh Nicholls Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 804 N Liberty St, Nicholls, Georgia |
| Authorized Official Name and Position | Vicki Lewis (CEO) |
| Authorized Official Contact | 9123841900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crh Nicholls Clinic 1100 Ward Street Ext W Douglas GA 31533-1902 Ph: (912) 384-1477 | Crh Nicholls Clinic 804 N Liberty St Nicholls GA 31554 Ph: (912) 384-4024 |
| NPI Number | 1295095925 |
|---|---|
| Provider Enumeration Date | 05/29/2012 |
| Last Update Date | 07/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295095925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Nicholls Family Health Care, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1205 Van Streat Hwy, Nicholls, GA 31554 Phone: 912-345-2474 Fax: 912-345-2518 | |
Douglas Medical Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 N Liberty Street, Nicholls, GA 31554 Phone: 912-345-9997 Fax: 912-345-9976 |