Individual
MRS. MARY SMALL LOGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C, M.S.
Contact information
Practice address
5673 PEACHTREE DUNWOODY RD NE, SUITE 850, ATLANTA, GA 30342-1731
(404) 252-4333
Mailing address
376 BLANTON RD NW, ATLANTA, GA 30342-3620
(404) 252-2554
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002287
GA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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