Logan, Jon Andrew

Logan, Jon Andrew is an individual health care provider with primary practice located at 621 North Ave Ste. C-30, Atlanta GA 30354-1430. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Computed Tomography, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Technologists, Technicians & Other Technical Service Providers / Computed Tomography is his primary health care specialty. Logan, Jon Andrew can be contacted via phone (678) 904-6820.

Contact Information

Primary practice address
621 North Ave Ste. C-30 Atlanta GA 30354-1430
Phone: (678) 904-6820
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Computed Tomography 2471C3401X 309371 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 06WI1204 Georgia

Profile Details

NPI number 1215133038
LBN Legal business name Logan, Jon Andrew
Credentials RPA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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