Provider Demographics
NPI:1366181208
Name:CRH
Entity type:Organization
Organization Name:CRH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING LEAD
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:LARKEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-573-9446
Mailing Address - Street 1:1275 HIGHWAY 54 W STE 201
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-4538
Mailing Address - Country:US
Mailing Address - Phone:678-688-9685
Mailing Address - Fax:770-626-3791
Practice Address - Street 1:1275 HIGHWAY 54 W STE 201
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-4538
Practice Address - Country:US
Practice Address - Phone:678-688-9685
Practice Address - Fax:770-626-3791
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1437194156
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty