Andrea Logan MD

NPI #1336598028 in Ocean Springs, Mississippi

Provider Information

NPI Number: 1336598028
Entity Type: Organization
Organization Name: Andrea Logan MD
Primary Specialty: Pediatrics
Enumeration Date: Jun 3, 2016
Last Updated: Jun 3, 2016

Practice Location

Address: 3631 BIENVILLE BLVD STE B
City: Ocean Springs
State: Mississippi
ZIP Code: 39564-5702
Phone: (228) 818-0585

Authorized Official

Name: ANDREA F LOGAN, MD
Title: MD
Phone: (228) 818-0585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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