Healthcare Provider Details

I. General information

NPI: 1730001132
Provider Name (Legal Business Name): CHARLES SAVAGE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1213 CASPER LN
WINDER GA
30680-4742
US

IV. Provider business mailing address

1213 CASPER LN
WINDER GA
30680-4742
US

V. Phone/Fax

Practice location:
  • Phone: 706-215-4949
  • Fax:
Mailing address:
  • Phone: 706-215-4949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberGA004839
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: