Organization
ANDREA LOGAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA F LOGAN MD (MD)
(228) 818-0585
Entity
Organization
Contact information
Practice address
3631 BIENVILLE BLVD STE B, OCEAN SPRINGS, MS 39564-5702
(228) 818-0585
(228) 818-0588
Mailing address
3631 BIENVILLE BLVD STE B, OCEAN SPRINGS, MS 39564-5702
(228) 818-0585
(228) 818-0588
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21719
MS
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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