CRH Vein Center, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

CRH VEIN CENTER, LLC

Practice address

902 N 7TH St
Cordele, GA 31015-3234

Phone

(229) 276-3600

Fax

(229) 276-3362

NPI assigned

Sep 12, 2013

Last updated

Sep 13, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Guy Thomas Young, MD

Title

Owner/MD

Phone

(229) 947-1492

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1669807202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4867",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312084867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N 7TH ST",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153234",
            "telephone_number": "229-276-3600",
            "fax_number": "229-276-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRH VEIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "229-947-1492",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jamie Couch, FNP
• Natalie Olivia Ford Cozart, D.M.D.
• Crisp County Board of Health
• Crisp County Emergency Medical Services
• Crisp County School System
• Crisp General Internal Medicine Inc
• Crisp Home Care

• Anesthesiology Physician in Cordele, GA
• Providers in Cordele, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.