Individual
JAMES ROBERT LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5356 REYNOLDS ST, SUITE 505, SAVANNAH, GA 31405-6106
(912) 644-5300
(912) 644-5260
Mailing address
5356 REYNOLDS ST, SUITE 505, SAVANNAH, GA 31405-6106
(912) 644-5300
(912) 644-5260
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
0100024
GA
207Y00000X
Otolaryngology Physician
Primary
010024
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000019786K
—
GA
Enumeration date
06/12/2006
Last updated
05/03/2016
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