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Kelly J Shea Miller

  • Female

Medical Specialty

Professional ID

  • NPI: 1831221068
  • PECOS ID: 9032214655
  • Enrollment ID: I20070410000401
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 1992

Medical Practices

  • Organization Name: The Southeast Permanente Medical Group
  • Group Practice ID assigned by PECOS: 6204829013
  • Number of Group Practice member: 536

Location

  • Address1: 20 Glenlake Pkwy Ne
  • Address2:
  • City: Atlanta
  • State: Georgia
  • Zip Code: 30328
  • Phone Number: (770)677-6043

Location

  • Address1: 3495 Piedmont Rd Ne
  • Address2: Building Nine
  • City: Atlanta
  • State: Georgia
  • Zip Code: 30305
  • Phone Number: (404)364-7206

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):