Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARTHALENE LOGAN
Active Sole ProprietorMARTHALENE LOGAN is a Emotionally Disturbed Children Residential Treatment healthcare provider located in BETHLEHEM, Georgia. NPI 1700289048 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · BETHLEHEM, GA
Registration Details
- NPI Number
- 1700289048
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 1, 2014 (11.913492803786 yrs)
- Last Updated
- Oct 1, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
4514 YORKTOWN DRBETHLEHEM, GA, 306204826Browse GA providers · Browse ZIP 30620
- Phone
- 6786355463
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.