Degenhardt, Charles Frederick
Degenhardt, Charles Frederick is an sole proprietor health care provider with primary practice located at 5400 Waters Ave , Savannah GA 31404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Degenhardt, Charles Frederick can be contacted via phone (912) 349-4227.Contact Information
Primary practice address
5400 Waters Ave
Savannah GA 31404
Phone: (912) 349-4227
Fax: (912) 349-4457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | LL29799 | South Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME 106894 | Florida |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | TL34875 | South Carolina |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 70547 | Georgia |
Profile Details
| NPI number | 1467651711 |
|---|---|
| LBN Legal business name | Degenhardt, Charles Frederick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2007 |
| Last updated | Sep 13th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467651711 | NPPES |
| South Carolina | Other | TL34875 | STATE LICENSE |
| South Carolina | Other | 70547 | STATE LICENSE |
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