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Individual

LOGAN BARRETT DEHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 KIMBERLY WAY STE 200, CANTON, GA 30114-8010
(678) 381-2020
(678) 381-2015
Mailing address
1034 HAW CREEK CIR STE 100, CUMMING, GA 30041-6513
(678) 381-2020
(678) 381-2015

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
99728
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/12/2020
Last updated
05/10/2024
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