Charles W Duckworth
Gastroenterologist
1139 Lexington Ave
Savannah
, Georgia 31404-5502
Charles W Duckworth
Gastroenterologist
1139 Lexington Ave
Savannah
, Georgia 31404-5502
(912) 790-2701
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Charles W Duckworth
- 1139 Lexington Ave
- Savannah, GA
- Zip : 31404-5502
- Fax : (912) 790-2701
- Phone : (912) 303-4200
Second Address
- Charles W Duckworth
- 1139 Lexington Ave
- Savannah, GA
- Zip : 31404-5502
- Fax : (912) 790-2701
- Phone : (912) 303-4200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 0041780 | GA |
National Provider Identifier
| NPI | 1033199989 |
|---|---|
| Provider Name | Charles W Duckworth |
| First Address | Savannah, GA 31404-5502 |
| Second Address | Savannah, GA 31404-5502 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/01/2006 |
| Last Update Date | 13/02/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000702875D | (05) | GA |
| 10BBCJJ | MEDICARE PTAN (01) | GA |
| F65996 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.