IndividualActive
Logan Teal, NRP
NPI 1700777620 · Paramedic · Villa Rica, GA
Provider details
- NPI number
- 1700777620
- Entity type
- Individual
- Primary specialty
- ParamedicEmergency Medical Service Providers
- Credential
- NRP
- Sex
- Male
- Sole proprietor
- Yes
- License
- P033707 (GA)
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
619 Herrell Rd
Villa Rica, GA 30180-4544
Phone: (770) 527-3729
Approximate (ZIP-level) locationGet directions
Mailing address
619 Herrell Rd
Villa Rica, GA 30180-4544
Registry dates
- Enumerated
- 2025-07-10
- Last updated
- 2025-07-10
- Certified
- 2025-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.