Individual
LOGAN MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11935 ABERCORN ST, SAVANNAH, GA 31419-1918
(912) 478-4636
Mailing address
708 BUNKHOUSE DR, CHARLESTON, SC 29414-5141
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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