Individual provider · Type 1 NPI

Mary Small Loggins, P.A.-C, M.S.

Medical Physician Assistant · Atlanta, GA

NPI number 1821162215 Active

Practice location

5673 Peachtree Dunwoody Rd NE, Suite 850
Atlanta, GA 30342-1731

Call (404) 252-4333 Map

Mailing address

376 Blanton Rd NW
Atlanta, GA 30342-3620

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X002287 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1821162215

Mary Small Loggins, P.A.-C, M.S.'s National Provider Identifier is 1821162215, issued on Nov 20, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2007.