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CHINE SP LOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
330 22ND AVE N, NASHVILLE, TN 37203-1844
(615) 320-0007
(615) 320-0009
Mailing address
PO BOX 210127, NASHVILLE, TN 37221-0127
(615) 320-0007
(615) 320-3183

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2757
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100469380
KY
05
Q010324
TN
Enumeration date
06/11/2008
Last updated
10/02/2025
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