Doctor Name: | MATTHEW STEVEN HELTON |
NPI Number: | 1154569192 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 11859 |
Business Practice Address: | 1061 Harmon Ave Ste 1d03 Fort Stewart, GA - 313145641 |
Business Phone Number: | 9124356633 |
Business Fax Number: | |
Mailing Address: | 1061 Harmon Ave Ste 1d03, FORT STEWART |
State: | GA |
Postal Code: | 313145641 |
Phone Number: | 9124356633 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2009 |
NPI Last Update Date: | 06/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | 11859 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |