Individual
JIM TAYLOR LOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 STATE HIGHWAY 30 W, NEW ALBANY, MS 38652-3112
(662) 538-7631
Mailing address
1524 COUNTY ROAD 107, NEW ALBANY, MS 38652-8413
(870) 448-7461
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
901706
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2021
Last updated
09/06/2022
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