Mary Street Logan, MD | |
801 W Gordon St, Thomaston, GA 30286-3426 | |
(706) 647-8111 | |
(706) 647-4389 |
Full Name | Mary Street Logan |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | 801 W Gordon St, Thomaston, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225021918 | NPI | - | NPPES |
P00144203 | Other | RAILROAD MEDICARE | |
183893252B | Medicaid | GA | |
925994 | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 040466 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mary Street Logan, MD Po Box 589, Thomaston, GA 30286-0008 Ph: (706) 647-8111 | Mary Street Logan, MD 801 W Gordon St, Thomaston, GA 30286-3426 Ph: (706) 647-8111 |
Dr. Stevens Yang, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 W Gordon St, Thomaston, GA 30286 Phone: 706-647-8111 | |
David Allen Peterson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 W Gordon St, Thomaston, GA 30286 Phone: 706-647-8111 Fax: 706-647-4389 |