| Doctor Name: | JANET KAY LOGAN |
| NPI Number: | 1235127135 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | RN189571 NP |
| Business Practice Address: | 803 Mlk Drive Fort Valley, GA - 310302227 |
| Business Phone Number: | 4788270710 |
| Business Fax Number: | 4788270677 |
| Mailing Address: | 131 Henson Rd, HAWKINSVILLE |
| State: | GA |
| Postal Code: | 310369628 |
| Phone Number: | 4789558832 |
| Fax Number: | |
| NPI Enumeration Date: | 10/13/2005 |
| NPI Last Update Date: | 10/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | RN189571 NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |