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Organization

KENNETH O LOGAN, D.C.,P.C.

Active
Other names
Logan Chiropractic Life Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH OWEN LOGAN D.C. (PRESIDENT)
(770) 428-3671
Entity
Organization

Contact information

Practice address
2543 BELLS FERRY RD, SUITE 500, MARIETTA, GA 30066-5179
(770) 428-3671
(770) 428-2143
Mailing address
2543 BELLS FERRY RD, SUITE 500, MARIETTA, GA 30066-5179
(770) 428-3671
(770) 428-2143

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001489
GA

Other

Enumeration date
04/23/2007
Last updated
03/08/2011
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