Individual
CHARLES FREDERICK DEGENHARDT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5400 WATERS AVE, SAVANNAH, GA 31404
(912) 349-4227
(912) 349-4457
Mailing address
5400 WATERS AVE, SAVANNAH, GA 31404-6234
(912) 349-4227
(912) 349-4457
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL29799
SC
207R00000X
Internal Medicine Physician
ME 106894
FL
207RR0500X
Rheumatology Physician
Primary
70547
GA
207RR0500X
Rheumatology Physician
TL34875
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70547
STATE MEDICAL LICENSES
GA
01
—
TL34875
STATE LICENSE
SC
Enumeration date
07/17/2007
Last updated
07/14/2025
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