Individual
DR. FRANCES ELIZABETH LOGAN PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D, M.S.P.H.
Contact information
Practice address
16741 GA HIGHWAY 67, SUITE F, STATESBORO, GA 30458-2528
(912) 681-4555
(912) 681-6551
Mailing address
16741 GA HIGHWAY 67, SUITE F, STATESBORO, GA 30458-2528
(912) 871-5437
(912) 681-6551
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
67374
GA
208000000X
Pediatrics Physician
ME103758
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000989600
—
FL
Enumeration date
10/16/2006
Last updated
07/30/2012
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