Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LOGAN TEAL, NRP
Active Sole ProprietorMR. LOGAN TEAL, NRP is a Emergency Medical Technician, Intermediate healthcare provider located in VILLA RICA, Georgia. NPI 1700777620 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Technician, Intermediate · VILLA RICA, GA
Registration Details
- NPI Number
- 1700777620
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2025 (1.1246576732195 yrs)
- Last Updated
- Jul 10, 2025
- License
-
P033707 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
619 HERRELL RDVILLA RICA, GA, 301804544Browse GA providers · Browse ZIP 30180
- Phone
- 7705273729
- Primary Specialty
-
Emergency Medical Technician, Intermediate
146L00000X
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.