JANET KAY LOGAN

FORT VALLEY, GA
NPI1235127135
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA  RN189571 NP)
Enumeration Date2005-10-13
Last Update Date2011-10-10
Business Address
-- JANET KAY LOGAN CPNP
803 MLK DRIVE
FORT VALLEY, GA 31030-2227
Phone number: 478-827-0710
Mailing Address
-- JANET KAY LOGAN CPNP
131 HENSON RD
HAWKINSVILLE, GA 31036-9628
Phone number: 478-955-8832