LOGAN TYLER COVINGTON

CARROLLTON, GA
NPI1366045387
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2020-11-20
Last Update Date2020-11-20
Business Address
LOGAN TYLER COVINGTON
1601 MAPLE ST
CARROLLTON, GA 30118-0001
Phone number: 678-839-6547
Mailing Address
LOGAN TYLER COVINGTON
506 BRIAN DR
WEST MONROE, LA 71291-9476
Phone number: 318-789-4074