Individual provider · Type 1 NPI

Logan Bryant Colbaugh

Student in an Organized Health Care Education/Training Program · Chattanooga, TN

NPI number 1245040856 Active

Practice location

615 Mccallie Ave
Chattanooga, TN 37403-2504

Mailing address

344 Old Mcclure Rd SE
Cleveland, TN 37323-8340

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X0000253901 (TN)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245040856

Logan Bryant Colbaugh's National Provider Identifier is 1245040856, issued on Jan 8, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chattanooga, TN. The record was last updated on Jan 8, 2025.