Individual
MS. TASIA LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9202 HIGHWAY 278 NE, COVINGTON, GA 30014-7011
(678) 342-8660
Mailing address
150 EDINBURGH LN, COVINGTON, GA 30016-7822
(443) 710-7139
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RN306133
GA
363L00000X
Nurse Practitioner
Primary
RN306133
GA
Other
Enumeration date
03/08/2024
Last updated
06/19/2025
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