Provider Demographics
NPI:1598733081
Name:HELMS, DEBORAH M (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:M
Last Name:HELMS
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:7212 FORTNER ST
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36305-7325
Mailing Address - Country:US
Mailing Address - Phone:334-793-4439
Mailing Address - Fax:334-793-6759
Practice Address - Street 1:104 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-6902
Practice Address - Country:US
Practice Address - Phone:334-671-9445
Practice Address - Fax:334-836-0059
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALPA-204363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALQ32514Medicare UPIN