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Individual

DR. CHARLES GORDON CALDWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
514 E BRYAN ST, SAVANNAH, GA 31401-2803
(912) 257-9884
Mailing address
514 E BRYAN ST, SAVANNAH, GA 31401-2803
(912) 257-9884

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
14488
NH
207X00000X
Orthopaedic Surgery Physician
Primary
D9381
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1323784-07
TX
05
30205632
NH
01
P00728660
RAILROAD NUMBER
NH
Enumeration date
07/18/2005
Last updated
11/04/2009
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