Individual
LOGAN WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 CUMBERLAND BND, NASHVILLE, TN 37228-1805
(615) 743-1586
Mailing address
275 CUMBERLAND BND, NASHVILLE, TN 37228-1805
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
211939
TN
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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