Doctor Name: | DR. JENNIFER JOYCE LOGAN |
NPI Number: | 1023197738 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 28640 |
Business Practice Address: | 287 Mitylene Park Dr Montgomery, AL - 361173547 |
Business Phone Number: | 3342904200 |
Business Fax Number: | 3342904190 |
Mailing Address: | 1752 Cross Keys Rd, SHORTER |
State: | AL |
Postal Code: | 360753748 |
Phone Number: | 2514908922 |
Fax Number: | 2514151457 |
NPI Enumeration Date: | 11/03/2006 |
NPI Last Update Date: | 02/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 28640 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |