Individual
GRETTA A LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
931 INDUSTRIAL PARK RD STE 200, DANDRIDGE, TN 37725-4701
(865) 397-3930
Mailing address
4541 BRIGHTS PIKE, MORRISTOWN, TN 37814-6714
(404) 290-4737
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000169733
TN
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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