Individual
JANET KAY LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
803 MLK DRIVE, FORT VALLEY, GA 31030-2227
(478) 827-0710
(478) 827-0677
Mailing address
131 HENSON RD, HAWKINSVILLE, GA 31036-9628
(478) 955-8832
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN189571 NP
GA
Other
Enumeration date
10/13/2005
Last updated
10/10/2011
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