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Individual

DR. ARIKE LOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1395 S MARIETTA PKWY SE, BLDG 100 STE 101, MARIETTA, GA 30067-4440
(770) 425-8700
(770) 425-8740
Mailing address
5270 PEACHTREE PKWY, SUITE 116, NORCROSS, GA 30092-6510
(770) 446-6789
(770) 446-7879

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
031466
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
031466
STATE LICENSE
GA
05
BL1754844
GA
01
GRP6996
GROUP INFO
GA
Enumeration date
07/25/2006
Last updated
10/20/2010
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