LOGAN BARLOW
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1639693823- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1668 W PEACE ST, CANTON, MS, 390465332
- Phone
- (601) 859-5213
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: MS #902090
All Addresses
MAILING
205 FIELDSTONE LN
MADISON, MS, 391105051