Basic Information
| Provider Information | |||||||||
| NPI: | 1982277398 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JOHN SCHELLMAN SERVICES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3134 EMBRY HILLS DR | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303414326 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7704588436 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4360 CHAMBLEE DUNWOODY RD STE 180 | ||||||||
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| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303411049 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7704588436 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/22/2021 | ||||||||
| LastUpdateDate: | 07/22/2021 | ||||||||
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| AuthorizedOfficialLastName: | SCHELLMAN | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
| AuthorizedOfficialMiddleName: | C | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7704588436 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 07/22/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | N | 193400000X SINGLE SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist | 332S00000X | Y | Suppliers | Hearing Aid Equipment |
No ID Information.