Individual
LOGAN MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 934-3411
Mailing address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-188369
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-188369
AL
Other
Enumeration date
03/26/2024
Last updated
04/07/2026
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