Individual
MR. JOHN THEODORE TALLENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
824 CARRINGTON RDG, STOCKBRIDGE, GA 30281-7662
(404) 285-3600
Mailing address
824 CARRINGTON RDG, STOCKBRIDGE, GA 30281-7662
(404) 285-3600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003566
GA
Other
Enumeration date
01/15/2011
Last updated
01/15/2011
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