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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 |
