Duckworth, Charles W

Duckworth, Charles W is an sole proprietor health care provider with primary practice located at 1139 Lexington Ave , Savannah GA 31404-5502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Duckworth, Charles W can be contacted via phone (912) 303-4200.

Contact Information

Primary practice address
1139 Lexington Ave Savannah GA 31404-5502
Phone: (912) 303-4200
Fax: (912) 790-2701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0041780 Georgia

Profile Details

NPI number 1033199989
LBN Legal business name Duckworth, Charles W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2006
Last updated Feb 13th, 2015 - about 10 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 1033199989 NPPES
Georgia Other 10BBCJJ MEDICARE PTAN
Georgia MEDICAID 000702875D MEDICARE PTAN

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