Covington, Logan Tyler

Covington, Logan Tyler is an individual health care provider with primary practice located at 1601 Maple St , Carrollton GA 30118-0001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Covington, Logan Tyler can be contacted via phone (678) 839-6547.

Contact Information

Primary practice address
1601 Maple St Carrollton GA 30118-0001
Phone: (678) 839-6547
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Louisiana

Profile Details

NPI number 1366045387
LBN Legal business name Covington, Logan Tyler
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2020
Last updated Nov 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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