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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW LOGUE

Active Sole Proprietor

MATTHEW LOGUE is a Community Health Worker healthcare provider located in BRANDON, Mississippi. NPI 1104275510 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · BRANDON, MS

Registration Details

NPI Number
1104275510
Provider Type
Individual
Gender
Male
NPI Issued
Jun 7, 2016 (10.213240961798 yrs)
Last Updated
Jun 7, 2016
Sole Proprietor
Yes

Practice Information

Address
2009 MOSSY COVE
BRANDON, MS, 39042
Browse MS providers · Browse ZIP 39042
Phone
6015197766
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in BRANDON, MS

Name Credential NPI
KIANA MOORE 1902332166
DENISE CAMPBELL 1821717034
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.