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Organization

ASCENDE HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CALLIE LOGAN DNP, FNP-C (CEO)
(770) 322-4373
Entity
Organization

Contact information

Practice address
1880 BRASELTON HWY STE 118, LAWRENCEVILLE, GA 30043-2877
(770) 322-4373
(912) 214-2143
Mailing address
1880 BRASELTON HWY STE 118, LAWRENCEVILLE, GA 30043-2877
(770) 322-4373
(912) 214-2143

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
07/02/2020
Last updated
08/16/2022
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