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Individual

LOGAN TAYLOR MANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
536 GRAND SLAM DR STE D, EVANS, GA 30809-8045
(706) 842-3330
Mailing address
550 PETROSS RD, VIDALIA, GA 30474-9779

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP013642
GA

Other

Enumeration date
09/09/2025
Last updated
09/09/2025
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