Individual
LOGAN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1364 CLIFTON ROAD, NE, OFFICE T5L38, ATLANTA, GA 30322
(404) 778-4756
Mailing address
7145 E VIRGINIA ST STE 2000, EVANSVILLE, IN 47715-9147
(812) 962-7894
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
55535
KY
208VP0014X
Interventional Pain Medicine Physician
TP095
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2016
Last updated
06/11/2021
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