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NPI Code Detail

MEDICARE: CRH UMC LLC

MEDICARE: CRH UMC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1265927511
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRH UMC LLC
Provider Business Mailing Address
First Line : 1275 HIGHWAY 54 W STE 201
Second Line :
City : FAYETTEVILLE
State : GA
Zip : 30214-4538
Country : US
Telephone Number : 678-688-9685
Fax Number : 770-626-3791
Provider Business Practice Location Address
First Line : 46 SHIELDS RD
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35811-7800
Country : US
Telephone Number : 256-382-3680
Fax Number : 256-382-3688
Authorized Official
Title or Position : CFO
Name : MRS. ANDREA MALIK-ROE
Credential :
Telephone Number : 678-504-6392
Provider Enumeration Date : 06/28/2018
Last Update Date : 06/28/2018

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Directions to “CRH UMC LLC ” Practice Location

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