Individual
MRS. BRITTANY N LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3180
Mailing address
6895 HAWKS CROSSING DR W, OLIVE BRANCH, MS 38654-8905
(901) 488-5060
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0000001438
TN
2255A2300X
Athletic Trainer
AT0800
MS
Other
Enumeration date
09/20/2017
Last updated
03/17/2018
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