Individual
CHARLES W DUCKWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1139 LEXINGTON AVE, SAVANNAH, GA 31404-5502
(912) 303-4200
(912) 790-2701
Mailing address
1139 LEXINGTON AVE, SAVANNAH, GA 31404-5502
(912) 303-4200
(912) 790-2701
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0041780
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000702875D
—
GA
01
—
10BBCJJ
MEDICARE PTAN
GA
Enumeration date
01/18/2006
Last updated
02/13/2015
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