Canady, Charles T

Canady, Charles T is an sole proprietor health care provider with primary practice located at 1061 Harmon Ave Suite 1D03, Fort Stewart GA 31314-5641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Canady, Charles T can be contacted via phone (912) 435-6633.

Contact Information

Primary practice address
1061 Harmon Ave Suite 1D03 Fort Stewart GA 31314-5641
Phone: (912) 435-6633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D0033678 Maryland
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4664 Alaska

Profile Details

NPI number 1447227020
LBN Legal business name Canady, Charles T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2006
Last updated Mar 9th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447227020 NPPES
Alaska MEDICAID MD0106

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