Provider Demographics
NPI:1114964152
Name:HELMKEN, MELANIE B (MD)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:B
Last Name:HELMKEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5353 REYNOLDS ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-6015
Mailing Address - Country:US
Mailing Address - Phone:912-355-9967
Mailing Address - Fax:912-355-5643
Practice Address - Street 1:5353 REYNOLDS ST
Practice Address - Street 2:SUITE 300
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-6015
Practice Address - Country:US
Practice Address - Phone:912-355-9967
Practice Address - Fax:912-355-5643
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA033524207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000683284BMedicaid
GAF60183Medicare UPIN
GA202I161152Medicare PIN