Matthew Logue

NPI #1104275510 in Brandon, Mississippi

Provider Information

NPI Number: 1104275510
Entity Type: Individual
Name: Matthew Logue
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Jun 7, 2016
Last Updated: Jun 7, 2016

Practice Location

Address: 2009 MOSSY COVE
City: Brandon
State: Mississippi
ZIP Code: 39042
Phone: (601) 519-7766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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