Individual provider · Type 1 NPI

Logan J. Jackson, MD

Diagnostic Radiology Physician · Charlotte, NC

NPI number 1740817261 Active

Practice location

3623 Latrobe Dr Ste 216
Charlotte, NC 28211-2117

Call (704) 332-1291 Map

Mailing address

PO Box 221249
Charlotte, NC 28222-1249

Other practice locations

  • 1215 Lee St, Charlottesville, VA 22908-3055 · (434) 924-9400
  • 251 E Huron St, Chicago, IL 60611-3055 · (312) 695-4447

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XLL84285 (SC)
Diagnostic Radiology Physician 2085R0202X0101285232 (VA)
Diagnostic Radiology Physician 2085R0202X125077323 (IL)
Diagnostic Radiology Physician Primary 2085R0202X2025-03621 (NC)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1740817261

Logan J. Jackson, MD's National Provider Identifier is 1740817261, issued on Mar 25, 2020. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Charlotte, NC. The record was last updated on Nov 3, 2025.