| Doctor Name: | GRETTA A LOGAN |
| NPI Number: | 1134433766 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN0000169733 |
| Business Practice Address: | 931 Industrial Park Rd Ste 200 Dandridge, TN - 377254701 |
| Business Phone Number: | 8653973930 |
| Business Fax Number: | |
| Mailing Address: | 4541 Brights Pike, MORRISTOWN |
| State: | TN |
| Postal Code: | 378146714 |
| Phone Number: | 4042904737 |
| Fax Number: | |
| NPI Enumeration Date: | 08/06/2010 |
| NPI Last Update Date: | 08/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | RN0000169733 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |