Individual
MR. LOGAN GLENN FOSHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
647 WALL ST, SEVIERVILLE, TN 37862-5923
(865) 429-0557
Mailing address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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