Individual
LOGAN BARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1668 W PEACE ST, CANTON, MS 39046-5332
(601) 859-5213
Mailing address
205 FIELDSTONE LN, MADISON, MS 39110-5051
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902090
MS
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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