Search › Georgia › 163WC0400X
Glory Logan-Brown
NPI 1326632522 · on the registry since 2021 · sole proprietor
Practice
- Address
- 637 Fallview Dr
Forest Park, GA 30297 - Phone
- (770) 580-9242
Registry record
- Primary taxonomy
- 163WC0400X
163WC0400X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia