Individual
WILLARD HELMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1224 W ROOSEVELT BLVD, MONROE, NC 28110-2820
(704) 296-4800
(704) 296-4887
Mailing address
1224 W ROOSEVELT BLVD, MONROE, NC 28110-2820
(704) 296-4800
(704) 296-4887
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200000227
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07184
BCBS PROVIDER NUMBER
NC
05
—
3404390
—
NC
Enumeration date
02/15/2007
Last updated
08/10/2009
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