Individual
LOGAN GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3686 GRANDVIEW PKWY STE 720, BIRMINGHAM, AL 35243-3408
(205) 971-7500
Mailing address
700 BROADWAY ST, BIRMINGHAM, AL 35209-6210
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-117672
AL
Other
Enumeration date
10/03/2018
Last updated
10/14/2020
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