Individual
LOGAN CURRAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1211 DINAH SHORE BLVD, WINCHESTER, TN 37398-1107
(931) 967-6669
(931) 967-6606
Mailing address
1700 SUMMER ST APT C92, MANCHESTER, TN 37355-2396
(615) 587-1436
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4357
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q063418
—
TN
Enumeration date
10/05/2020
Last updated
08/01/2023
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