Individual
CHARISSE LOGRONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 10TH AVE STE 100, COLUMBUS, GA 31901-3601
(904) 238-2222
Mailing address
1900 10TH AVE STE 100, COLUMBUS, GA 31901-3601
(904) 238-2222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
007732
GA
207Q00000X
Family Medicine Physician
DR.0075967
CO
208M00000X
Hospitalist Physician
DR.0075967
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2015
Last updated
02/12/2026
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