LOGAN FAMILY PRACTICE LLC

RUSSELLVILLE, KY
NPI1285207241
Entity TypeOrganization
Authorized ContactKATHY TEAGUE
A VP, Secretary
615-920-7000
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies363A00000X Physician Assistant
363LF0000X Nurse Practitioner, Family
Enumeration Date2021-07-19
Last Update Date2021-11-09
Business Address
LOGAN FAMILY PRACTICE LLC
1719 NASHVILLE ST
RUSSELLVILLE, KY 42276-7804
Phone number: 270-726-7664
Mailing Address
LOGAN FAMILY PRACTICE LLC
330 SEVEN SPRINGS WAY
BRENTWOOD, TN 37027-5098
Phone number: 615-920-7780