Individual
LOGAN GEORGE SCARBOROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3831 FERN BANK RD, VALDOSTA, GA 31601-2730
(229) 412-7223
Mailing address
3831 FERN BANK RD, VALDOSTA, GA 31601-2730
(229) 412-7223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14491536
GA
Other
Enumeration date
04/07/2025
Last updated
04/28/2025
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