Logan Family Medicine, Llc, NPI 1619113867
Clinic/Center in Dayton, TN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1619113867
NPI Entity Type Organization
Provider Name Logan Family Medicine, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 8845 Rhea County Hwy, Dayton, TN, US
Provider Mailing Address 8845 Rhea County Hwy, Dayton, TN, US, 373215926
Is Sole Proprietor? No
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Organization Official

Official Name DR. D.O. Lee Daniel Logan
Official Position MANAGING MEMBER
Phone 423-775-4261

Primary Taxonomy

Taxonomy Code

261Q00000X

Taxonomy Name Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License No. DO 1846
License State TN
Description A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Business Address

Logan Family Medicine, Llc
8845 Rhea County Hwy

Dayton, TN, US

Phone: 423-775-4261
Fax: 423-775-6988

Mailing Address

Logan Family Medicine, Llc
8845 Rhea County Hwy
Dayton, TN, US
ZIP 373215926
Phone: 423-775-4261
Fax: 423-775-6988

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
DO 1846 TN TN LICENSE 01
4718093 TN CIGNA 01
1511366 TN MEDICAID 05
4157006 TN BCBS 01
PTAN P00416016 TN MEDICARE RAILROAD 01

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1417615469

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Ashley Myers

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FNP-BC Misty Renee Nichols

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Taylor Woods

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MRS. PA-C Brittany C Smith

Individual

Physician Assistant

1265 Union Ave

Memphis, TN

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