Individual
SHARON LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9965 BRANTINGHAM RD, DOUGLASVILLE, GA 30135-8156
(678) 571-0534
Mailing address
9965 BRANTINGHAM RD, DOUGLASVILLE, GA 30135-8156
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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