Basic Information
| Provider Information | |||||||||
| NPI: | 1801192141 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHELLMAN | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | C | ||||||||
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| Credential: | HAD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3134 EMBRY HILLS DR | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303414326 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7704588436 | ||||||||
| FaxNumber: | 7704588241 | ||||||||
| Practice Location | |||||||||
| Address1: | 4360 CHAMBLEE DUNWOODY RD | ||||||||
| Address2: | SUITE #180 | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303411049 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7704588436 | ||||||||
| FaxNumber: | 7704588241 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/03/2011 | ||||||||
| LastUpdateDate: | 04/12/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/12/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237600000X | GA | N | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter | 237700000X | HADS000792 | GA | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.