Individual
LOGAN NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 US70 EAST, SUITE 2, DICKSON, TN 37055
(615) 446-4644
Mailing address
645 OLD HICKORY BLVD APT 426, NASHVILLE, TN 37209-5269
(605) 690-2557
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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