Individual
LOGAN RYAN FEATHERSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3278 MITCHELL BLVD, MOODY AFB, GA 31699-1500
(229) 257-2778
Mailing address
3280 MITCHELL BLVD, MOODY AFB, GA 31699-1500
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
02007728A
IN
Other
Enumeration date
03/24/2022
Last updated
05/20/2024
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