Individual
MR. LOGAN TEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NRP
Contact information
Practice address
619 HERRELL RD, VILLA RICA, GA 30180-4544
(770) 527-3729
Mailing address
619 HERRELL RD, VILLA RICA, GA 30180-4544
(770) 527-3729
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
P033707
GA
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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