Individual
DR. LOGAN KAMRATH FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1765 OLD WEST BROAD ST, ATHENS, GA 30606
(706) 549-1663
(706) 546-8792
Mailing address
1765 OLD WEST BROAD ST BLDG 2-200, ATHENS, GA 30606-2887
(706) 549-1663
(706) 546-8792
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
71733
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12455413
CAQH
GA
Enumeration date
06/18/2008
Last updated
08/09/2024
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