LOGAN SHANE TAYLOR

ATHENS, GA
NPI1306499413
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2019-07-17
Last Update Date2021-07-10
Business Address
LOGAN SHANE TAYLOR ATC
102 CENTER PARK LN
ATHENS, GA 30605-4294
Phone number: 229-375-2426
Mailing Address
LOGAN SHANE TAYLOR ATC
380 PICCADILLY SQ
ATHENS, GA 30605-3044
Phone number: 229-375-2426
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