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1912684036
LOGAN WAYNE MCCULLEY
MEMPHIS, TN
NPI
1912684036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 238135)
Enumeration Date
2023-06-30
Last Update Date
2023-06-30
Business Address
LOGAN WAYNE MCCULLEY NP
910 MADISON AVE
MEMPHIS, TN 38103-3403
Phone number: 901-448-5560
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Mailing Address
LOGAN WAYNE MCCULLEY NP
5432 HIDDEN MEADOWS DR
ARLINGTON, TN 38002-8320
Phone number: 301-277-0068
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