Mary Street Logan MD

  • NPI 1225021918
According to our database, the NPI number for Mary Street Logan MD is 1225021918 and activated since 18 years ago. Mary Street Logan MD is an individual provider who specializes in Anesthesiology, and the primary practice location is 801 W Gordon St, Thomaston, GA 30286. You can also contact Mary Street Logan MD via telephone number is (706) 647-8111. Provider NPI information was last updated on 03/03/2010.

Recently Active NPIs

Overview of Mary Street Logan MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 08/26/2005
  • Last updated: 03/03/2010

Primary Scrop of Practice

  • Taxonomy Code: 207L00000X
  • Specialty: Anesthesiology
  • License Number: 040466
  • License State: GA

Provider Mailing Address

  • Address: Po Box 589
    Thomaston, GA 30286
  • Phone: 706-647-8111
  • Fax: 706-647-4389

Provider Practice Location

  • Address: 801 W Gordon St
    Thomaston, GA 30286
  • Phone: 706-647-8111
  • Fax: 706-647-4389

Scope of Practice

  • Taxonomy Code: 207L00000X
  • Specialty: Anesthesiology
  • License Number: 040466
  • License State: GA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 925994
  • Identifier Type: Other
  • Identifier State:
  • Issuer: BLUE CROSS BLUE SHIELD

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Mary Street Logan MD?
  • A: The npi number for Mary Street Logan MD is 1225021918.
  • Q: What are Mary Street Logan MD's specialties?
  • A: Mary Street Logan MD's specialties are Anesthesiology and different specialities.
  • Q: What is the medical license for Mary Street Logan MD?
  • A: The medical license number for Mary Street Logan MD is 040466 and issued in GA in USA.
  • Q: Where is Mary Street Logan MD practice location?
  • A: Mary Street Logan MD is practicing at 801 W Gordon St, Thomaston, GA 30286.
  • Q: How to contact Mary Street Logan MD?
  • A: You can contact Mary Street Logan MD via 706-647-8111.