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

BRENT JUSTIN LOGAN, MD

Active

BRENT JUSTIN LOGAN, MD is a Pediatrics healthcare provider located in HIGH POINT, North Carolina. NPI 1619166253 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · HIGH POINT, NC

Registration Details

NPI Number
1619166253
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2007 (18.854197690314 yrs)
Last Updated
Oct 25, 2016
Licenses
50417 (TN)
0101254581 (VA)
50417 (TN)
0101254581 (VA)
2007-01471 (NC)

Practice Information

Address
1814 WESTCHESTER DR
STE. 203
HIGH POINT, NC, 272627299
Browse NC providers · Browse ZIP 27262
Phone
3368022100
Fax
3368022101
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics
Additional Specialty
Pediatrics
Additional Specialty
Pediatric Endocrinology
Additional Specialty
Pediatrics

Other Pediatrics Providers in HIGH POINT, NC

Name Credential NPI
ANDREA CUOMO SCHOLER MD 1225033376
AMY H EUBANKS MD 1366447807
DR. EASWAR RAMADOSS M.D 1467451187
DR. ROBERT ALEXANDER POTH MD 1376536789
ROSEMARIE SLADEK-LAWSON MD 1942273081
MARY ALLISON SCOTT HUDSON MD 1538106729
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.