| Kelly J Shea-miller, PH D | |
|
2470 Mount Zion Pkwy, Department Of Ent, Jonesboro, GA 30236-2500 | |
| (770) 603-3542 | |
| Not Available |
| Full Name | Kelly J Shea-miller |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 33 Years |
| Location | 2470 Mount Zion Pkwy, Jonesboro, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831221068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | AUD003458 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Southeast Permanente Medical Group | 6204829013 | 658 |
| Provider Name | The Southeast Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly J Shea-miller, PH D 4563 Holliston Road, Atlanta, GA 30360 Ph: (770) 454-8890 | Kelly J Shea-miller, PH D 2470 Mount Zion Pkwy, Department Of Ent, Jonesboro, GA 30236-2500 Ph: (770) 603-3542 |
Dr. Jelani Conway, AU.D Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2470 Mount Zion Pkwy, Jonesboro, GA 30236 Phone: 800-611-1811 | |
Dr. Bailey Johnson, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2470 Mount Zion Pkwy, Jonesboro, GA 30236 Phone: 404-365-0966 | |
Victoria Anne Hamilton, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2470 Mount Zion Pkwy, Department Of Audiology, Jonesboro, GA 30236 Phone: 770-603-3977 |