Individual
MR. JON ANDREW LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
621 NORTH AVE, STE. C-30, ATLANTA, GA 30354-1430
(678) 904-6820
Mailing address
214 SUTTON RD, TIFTON, GA 31794-2221
(229) 382-2827
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
309371
GA
363A00000X
Physician Assistant
Primary
06WI1204
GA
Other
Enumeration date
06/27/2007
Last updated
09/11/2025
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