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Dr. Charles Gordon Caldwell

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NPI Number Detailed Information

Provider Information:

Name: Dr. Charles Gordon Caldwell
Gender: M
Provider License Number If Given: D9381

NPI Information:

NPI: 1023017555
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 11/4/2009

Provider Business Mailing Address:

Address: 514 E BRYAN ST
Savannah, GA 31401
Phone Number: 9122579884
Fax Number:

Provider Business Practice Location Address:

Address: 514 E BRYAN ST
Savannah, GA 31401
Phone Number: 9122579884
Fax Number:

Provider Taxonomy:

Primary: 207X00000X
Secondary (if any): 207X00000X
State: GA

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