| NPI | 1386862480 |
|---|---|
| Doing Business As | LOGAN CHIROPRACTIC LIFE CENTER |
| Entity Type | Organization |
| Authorized Contact | KENNETH OWEN LOGAN President 770-428-3671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 001489) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2011-03-08 |