MR. JON ANDREW LOGAN


Address: 621 North Ave, Ste. C-30, Atlanta, GA 30354-1430
Phone: 6789046820

MR. JON ANDREW LOGAN (NPI# 1215133038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215133038
Entity Type Individual
Full Name MR. JON ANDREW LOGAN
Credential RPA
Practice Address 621 North Ave
Ste. C-30
Atlanta
GA 30354-1430
Mailing Address 214 Sutton Rd
Tifton
GA 31794-2221
Practice Telephone 6789046820
Mailing Telephone 2293822827
Enumeration Date 2007-06-27
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 2471C3401X Radiologic Technologist
Specialization: Computed Tomography
309371 GA Technologists, Technicians & Other Technical Service Providers
X 363A00000X Physician Assistant 06WI1204 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 621 NORTH AVE
STE. C-30
City ATLANTA
State GA
Zip Code 30354-1430

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1336207349 Catherine Clayton Harper Registered Nurse 3444 Claire Dr, Hopeville, GA 30354 2006-12-04
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Taxonomy Information

Taxonomy Code 2471C3401X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Computed Tomography

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801297189 Lisa Gardisser Radiologic Technologist 2646 Hwy 56 E, Lyons, GA 30436-4358 2014-09-05
1457609810 Charles M Smith Radiologic Technologist 113 Fairview Park Dr, Suite A, Dublin, GA 31021-2501 2012-08-16
1942521067 Kevin L Marler Radiologic Technologist 21 Golden Ct, Sharpsburg, GA 30277-2367 2010-06-14
1659510808 Donn Alan Coe Radiologic Technologist 3815 Lovers Ln, Monroe, GA 30656-8556 2009-02-11
1922281104 Clarissa Dawn George Radiologic Technologist 5810 Waterfall Way, Buford, GA 30518-1376 2007-12-11
1619373990 Audrey Sims Radiologic Technologist 1061 Harmon Ave, Fort Stewart, GA 31314-5641 2014-11-13
1023362258 Hilda Faye Bryant Radiologic Technologist 1670 Clairmont Rd, Decatur, GA 30033-4004 2012-11-09
1063711380 Amanda Lauren Maldonado Radiologic Technologist 230 Duncan Dr Bldg 1440, Department of Radiology, Savannah, GA 31409-5107 2011-03-25
1427255769 Daniel Wilson Krevdo Radiologic Technologist 901 Griffin Ave, Eastman, GA 31023-6720 2007-06-29
1447302344 Riverdale Radiology Center Radiologic Technologist 833 Walnut St, Macon, GA 31201-2617 2007-01-18
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Competitor

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City ATLANTA
Zip Code 30354

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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