Crenshaw, Melissa Decker

Crenshaw, Melissa Decker is an individual health care provider with primary practice located at 4750 Waters Ave Ste 311 , Savannah GA 31404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Crenshaw, Melissa Decker can be contacted via phone (912) 350-5937.

Contact Information

Primary practice address
4750 Waters Ave Ste 311 Savannah GA 31404
Fax: (912) 350-7514
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 053440 Georgia

Profile Details

NPI number 1770522930
LBN Legal business name Crenshaw, Melissa Decker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Aug 10th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770522930 NPPES
Georgia MEDICAID 294689103A
Georgia MEDICAID 294689103B
Georgia MEDICAID 294689103C
Georgia Other 624337
Georgia Other P00364467
Georgia MEDICAID 294689103D
Georgia MEDICAID G53440
Georgia Other 10064303
Georgia Other 404071

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