SearchGeorgia320900000X

Marthalene Logan

NPI 1700289048 · on the registry since 2014 · sole proprietor

Practice

Address
4514 Yorktown Dr
Bethlehem, GA 30620
Phone
(678) 635-5463

Registry record

Primary taxonomy
320900000X
320900000X
Sex
Female
Record last updated
2014-10-01

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