Healthcare Provider Details
I. General information
NPI: 1982277398
Provider Name (Legal Business Name): JOHN SCHELLMAN SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2021
Last Update Date: 07/22/2021
Certification Date: 07/22/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4360 CHAMBLEE DUNWOODY RD STE 180
ATLANTA GA
30341-1049
US
IV. Provider business mailing address
3134 EMBRY HILLS DR
ATLANTA GA
30341-4326
US
V. Phone/Fax
- Phone: 770-458-8436
- Fax:
- Phone: 770-458-8436
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHN
C
SCHELLMAN
Title or Position: OWNER
Credential:
Phone: 770-458-8436