Individual
MELISSA DECKER CRENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4750 WATERS AVE STE 311, SAVANNAH, GA 31404
(912) 350-5937
(912) 350-7514
Mailing address
4750 WATERS AVE STE 311, SAVANNAH, GA 31404-6268
(912) 350-5937
(912) 350-7514
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
053440
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10064303
AMERIGROUP
GA
05
—
294689103A
—
GA
05
—
294689103B
—
GA
05
—
294689103C
—
GA
05
—
294689103D
—
GA
01
—
404071
WELLCARE
GA
01
—
624337
WELLCARE
GA
05
—
G53440
—
SC
01
—
P00364467
RR MEDICARE
GA
Enumeration date
06/05/2006
Last updated
08/10/2018
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