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1609416148
CHARLES ALEXANDER LOGAN
NASHVILLE, TN
NPI
1609416148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 27028)
Enumeration Date
2020-01-13
Last Update Date
2020-01-13
Business Address
CHARLES ALEXANDER LOGAN
2004 HAYES ST
NASHVILLE, TN 37203-2646
Phone number: 613-324-1600
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Mailing Address
CHARLES ALEXANDER LOGAN
2004 HAYES ST
NASHVILLE, TN 37203-2646
Phone number: 615-804-9304
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