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1699231019
MARSHALL LOGAN
ATLANTA, GA
NPI
1699231019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 214743)
Enumeration Date
2019-02-11
Last Update Date
2020-12-07
Business Address
Mr. MARSHALL LOGAN NP-C
865 N HIGHLAND AVE NE
ATLANTA, GA 30306-4565
Phone number: 404-733-6089
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Mailing Address
Mr. MARSHALL LOGAN NP-C
865 N HIGHLAND AVE NE
ATLANTA, GA 30306-4565
Phone number: 404-733-6089
Copy
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