Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Logan Shane Taylor, ATC

Individual provider Athletic Trainer · NPI 1306499413

Logan Shane Taylor, ATC is an Athletic Trainer in Athens, Georgia. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

102 Center Park Ln
Athens, GA 30605-4294
Phone: (229) 375-2426
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1306499413
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedJuly 17, 2019
Last updated in NPPESJuly 10, 2021
Certification dateJuly 10, 2021
Mailing address380 Piccadilly Sq, Athens, GA 30605-3044

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