Individual
DR. JENNIFER JOYCE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
287 MITYLENE PARK DR, MONTGOMERY, AL 36117-3547
(334) 290-4200
(334) 290-4190
Mailing address
1752 CROSS KEYS RD, SHORTER, AL 36075-3748
(251) 490-8922
(251) 415-1457
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28640
AL
Other
Enumeration date
11/03/2006
Last updated
02/28/2013
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