Logan, Latania K.

Logan, Latania K. is an individual health care provider with primary practice located at 1400 Tullie Rd Ne , Atlanta GA 30329-2309. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is her primary health care specialty. Logan, Latania K. can be contacted via phone (404) 785-5437.

Contact Information

Primary practice address
1400 Tullie Rd Ne Atlanta GA 30329-2309
Phone: (404) 785-5437
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-113313 Illinois
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 036-113313 Illinois
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 92099 Georgia

Profile Details

NPI number 1558517144
LBN Legal business name Logan, Latania K.
Credentials M.D., MSPH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2008
Last updated Jun 29th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558517144 NPPES
Illinois Other 036-113313 STATE LICENSE NUMBER
Illinois Other 336-074676 STATE LICENSE NUMBER
Illinois Other 92099 STATE LICENSE NUMBER

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