Healthcare Provider Details

I. General information

NPI: 1114335262
Provider Name (Legal Business Name): KELAND SCHER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2014
Last Update Date: 04/29/2022
Certification Date: 04/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1816 BRIARWOOD INDUSTRIAL CT NE STE A
BROOKHAVEN GA
30329-1642
US

IV. Provider business mailing address

3985 STEVE REYNOLDS BLVD BLDG G
NORCROSS GA
30093-3001
US

V. Phone/Fax

Practice location:
  • Phone: 404-636-5272
  • Fax: 404-636-5644
Mailing address:
  • Phone: 770-622-2532
  • Fax: 770-622-2534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: