Individual
GLORY JEAN LOGAN-BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
637 FALLVIEW DR, FOREST PARK, GA 30297-3020
(770) 580-9242
Mailing address
637 FALLVIEW DR, FOREST PARK, GA 30297-3020
(770) 580-9242
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN102065
GA
Other
Enumeration date
02/27/2021
Last updated
02/27/2021
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