Logan Family Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR004189 Issued in GA

Legal business name

LOGAN FAMILY CHIROPRACTIC PC

Practice address

24 Waleska St
Suite 100
Canton, GA 30114-2739

Phone

(770) 345-7896

Fax

(770) 345-4096

NPI assigned

Jun 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kenneth Owen Logan, B.S., D.C.

Title

President

Phone

(770) 345-7896

Specialties & licenses 1

Addresses

Other names 1

• Logan Family Chiropractic Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1699713388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WALESKA ST",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142739",
            "telephone_number": "770-345-7896",
            "fax_number": "770-345-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WALESKA ST",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142739",
            "telephone_number": "770-345-7896",
            "fax_number": "770-345-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-345-7896",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S., D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR004189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Logan Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marivic Ybanez Llena, FNP-C
• Vincent Michael Lloyd, D.D.S.
• Emilie Lobeck, PHARM.D
• Steven M Lobel, MD
• Mary Catherine Lodde, OTR L
• Kenneth Owen Logan, D.C.
• Katelyn Wilma Lohman, O.D.
• Mark E Loiselle, CSFA
• Nathan Andrew Long, AU.D.
• Lookout Mountain Community Services

• Chiropractor in Canton, GA
• Providers in Canton, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.