Individual provider · Type 1 NPI
Logan Dishawn Mathus, PTT
Military Health Care Provider · Fort Meade, MD
NPI number
1952146987
Active
Practice location
2480 Llewellyn Ave
Fort Meade, MD 20755-7081
Mailing address
4755 English Ave Unit G2
Fort George G Meade, MD 20755-2177
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | None listed |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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About NPI 1952146987
Logan Dishawn Mathus, PTT's National Provider Identifier is 1952146987, issued on Jul 1, 2024. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fort Meade, MD. The record was last updated on Jul 1, 2024.