Individual
JOHN LOTT SANDIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
640 GLEN IRIS DR NE, UNIT 508, ATLANTA, GA 30308-2723
(404) 277-5813
Mailing address
PO BOX 1000, DEPT 128, MEMPHIS, TN 38148-0128
(901) 821-0338
(901) 821-0341
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004077
GA
Other
Enumeration date
02/04/2011
Last updated
03/03/2016
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