Individual
CHARLES T LEEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5356 REYNOLDS ST, 201, SAVANNAH, GA 31405-6016
(912) 819-8187
(912) 232-9701
Mailing address
5501 ABERCORN ST, C172, SAVANNAH, GA 31405-6911
(912) 232-9700
(912) 232-9701
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-115155
IL
207P00000X
Emergency Medicine Physician
Primary
061117
GA
207P00000X
Emergency Medicine Physician
1186
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440010727A
—
GA
05
—
440010727B
—
GA
05
—
440010727C
—
GA
05
—
G61117
—
GA
Enumeration date
05/24/2006
Last updated
01/07/2015
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