Individual
LOGAN BRYANT COLBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 MCCALLIE AVE, CHATTANOOGA, TN 37403-2504
(423) 425-1741
Mailing address
344 OLD MCCLURE RD SE, CLEVELAND, TN 37323-8340
(423) 464-1413
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000253901
TN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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