Provider Demographics
NPI:1235195868
Name:HELTON, DAVID K
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:K
Last Name:HELTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1067 RIVERFRONT PKWY
Mailing Address - Street 2:STE 201
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-2222
Mailing Address - Country:US
Mailing Address - Phone:423-954-7177
Mailing Address - Fax:
Practice Address - Street 1:1651 GUNBARREL RD
Practice Address - Street 2:S302 GALEN MEDICAL GROUP
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421
Practice Address - Country:US
Practice Address - Phone:423-899-2904
Practice Address - Fax:423-892-5058
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN23974207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
F96994Medicare UPIN
TN3088362Medicare ID - Type Unspecified