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Individual
LOGAN ARMOND WILSON
Active
Individual
LOGAN ARMOND WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
30540
MS
207P00000X
Emergency Medicine Physician
43596
AL
207P00000X
Emergency Medicine Physician
Primary
67662
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q079137
—
TN
Enumeration date
04/21/2020
Last updated
04/25/2025
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