Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 14488 | NH |
Y | 207X00000X | Orthopaedic Surgeon | D9381 | TX |
NPI | 1023017555 |
---|---|
Provider Name | Dr. Charles Gordon Caldwell |
First Address | Savannah, GA 31401-2803 |
Second Address | Savannah, GA 31401-2803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2005 |
Last Update Date | 04/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1323784-07 | (05) | TX |
30205632 | (05) | NH |
C14081 | (02) | TX |
P00728660 | RAILROAD NUMBER (01) | NH |