Individual
LOGAN MARIE CLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
431 SANDERS BLUFF RD, HUMBOLDT, TN 38343-8545
(731) 487-8912
Mailing address
431 SANDERS BLUFF RD, HUMBOLDT, TN 38343-8545
(731) 487-8912
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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