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Individual

DR. LOGAN NORMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D

Contact information

Practice address
2159 HIGHWAY 20 SE, CONYERS, GA 30013-2028
(770) 785-6202
Mailing address
2159 HIGHWAY 20 SE, CONYERS, GA 30013-2028
(770) 785-6202

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026790
GA

Other

Enumeration date
01/19/2016
Last updated
01/19/2016
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