Individual
CHARLES ALEXANDER LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2004 HAYES ST, NASHVILLE, TN 37203-2646
(613) 324-1600
Mailing address
2004 HAYES ST, NASHVILLE, TN 37203-2646
(615) 804-9304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27028
TN
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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