Logan, Marthalene

Logan, Marthalene is an sole proprietor health care provider with primary practice located at 4514 Yorktown Dr , Bethlehem GA 30620-4826. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Logan, Marthalene can be contacted via phone (678) 635-5463.

Contact Information

Primary practice address
4514 Yorktown Dr Bethlehem GA 30620-4826
Phone: (678) 635-5463
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1700289048
LBN Legal business name Logan, Marthalene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2014
Last updated Oct 1st, 2014 - about 11 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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