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1235796285
LOGAN WAYNE EDWARDS
JOHNSON CITY, TN
NPI
1235796285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 25474)
Enumeration Date
2019-05-24
Last Update Date
2024-06-25
Business Address
LOGAN WAYNE EDWARDS FNP-C
208 SUNSET DR STE 359
JOHNSON CITY, TN 37604-2518
Phone number: 865-839-0508
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Mailing Address
LOGAN WAYNE EDWARDS FNP-C
403 PRINCETON RD STE 1
JOHNSON CITY, TN 37601-2040
Phone number: 423-972-3878
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