Individual provider · Type 1 NPI

Logan Jackson

Student in an Organized Health Care Education/Training Program · Woodstock, GA

NPI number 1902730724 Active

Practice location

3235 S Cherokee Ln Ste 1200
Woodstock, GA 30188-4461

Call (678) 384-4911 Map

Other practice locations

  • 3217 S Cherokee Ln Ste 730, Woodstock, GA 30188-7053 · (678) 384-4911
  • 4343 Shallowford Rd Ste 410, Marietta, GA 30062-5067 · (678) 536-7543

Specialties and licenses

TaxonomyCodeLicense
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 1902730724

Logan Jackson's National Provider Identifier is 1902730724, issued on Jun 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Woodstock, GA. The record was last updated on Jun 9, 2026.