MARY STREET LOGAN

THOMASTON, GA
NPI1225021918
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: GA  040466)
Enumeration Date2005-08-26
Last Update Date2010-03-03
Business Address
-- MARY STREET LOGAN MD
801 W GORDON ST
THOMASTON, GA 30286-3426
Phone number: 706-647-8111
Mailing Address
-- MARY STREET LOGAN MD
PO BOX 589
THOMASTON, GA 30286-0008
Phone number: 706-647-8111
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