Individual
DR. LOGAN AUTRY CUMBAA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1215 VINE ST NE, GAINESVILLE, GA 30501-2535
(770) 532-4555
Mailing address
248 DUE SOUTH RD, WHIGHAM, GA 39897-4032
(229) 289-7229
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123787
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/03/2025
Last updated
06/06/2025
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