Individual
WANDA T LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8090 WALNUT RUN RD, CORDOVA, TN 38018-6362
(901) 755-5300
Mailing address
8090 WALNUT RUN RD, CORDOVA, TN 38018-6362
(901) 755-5300
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A0000001420
TN
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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