Individual
SANDY GREENBLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
22 BUFORD VILLAGE WAY STE 229, BUFORD, GA 30518-8846
(678) 482-6100
(770) 932-5684
Mailing address
2874 HICKORY RUN CIR, DULUTH, GA 30096-7406
(404) 993-5427
(470) 588-9544
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006142
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
715307105B
—
GA
Enumeration date
01/13/2006
Last updated
04/13/2022
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