Individual
MRS. CATHY L SANDIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
201 PARK BLVD, ROGERSVILLE, TN 37857-2919
(423) 272-7641
(423) 921-8073
Mailing address
1501 ALLISON ST, ROGERSVILLE, TN 37857-2207
(423) 272-2565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000039813
TN
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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