Basic Information
Provider Information
NPI: 1629073481
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HELFMAN
FirstName: DAVID
MiddleName: N.
NamePrefix:  
NameSuffix:  
Credential: DPM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 300 VILLAGE GREEN CIR SE
Address2: STE 200
City: SMYRNA
State: GA
PostalCode: 300803476
CountryCode: US
TelephoneNumber: 7703840284
FaxNumber: 7704327638
Practice Location
Address1: 3969 S COBB DR SE
Address2: STE 102
City: SMYRNA
State: GA
PostalCode: 300806313
CountryCode: US
TelephoneNumber: 7703195502
FaxNumber: 7704349010
Other Information
ProviderEnumerationDate: 06/17/2005
LastUpdateDate: 05/20/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
213E00000XPOD000643GAY Podiatric Medicine & Surgery Service ProvidersPodiatrist 

ID Information
IDTypeStateIssuerDescription
58199426101GACIGNAOTHER
270169301GAEVERCAREOTHER
33737201GAWELLCARE - MEDICAIDOTHER
58199426101GAGREAT WESTOTHER
58199426101GAAETNAOTHER
000494249A01GAPEACH STATE HP - MEDICAIDOTHER
58199426101GAFIRST HEALTHOTHER
000494249A05GA MEDICAID
140010101GAGHIOTHER
58199426101GAPHCSOTHER
260806401GAUNITED HEALTHCAREOTHER
1005224401GAAMERIGROUP-MEDICAIDOTHER
58199426101GAHUMANAOTHER
58199426101GABEECH STREETOTHER


Home