Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOGAN BALKCOM
Active Sole ProprietorLOGAN BALKCOM is a Anesthesiologist Assistant healthcare provider located in TIFTON, Georgia. NPI 1891457768 is currently active in the NPPES registry. Verify at CMS.
Anesthesiologist Assistant · TIFTON, GA
Registration Details
- NPI Number
- 1891457768
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 8, 2021 (4.8080542317273 yrs)
- Last Updated
- Oct 8, 2021
- License
-
10709 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
901 18TH ST ETIFTON, GA, 317943648Browse GA providers · Browse ZIP 31794
- Phone
- 2293827120
- Primary Specialty
-
Anesthesiologist Assistant
367H00000X
Other Anesthesiologist Assistant Providers in TIFTON, GA
| Name | Credential | NPI |
|---|---|---|
| CLINTON JEFFERY BROWN | AA | 1528138997 |
| LACEY JACKSON LANDON | AA | 1174922314 |
| MR. MANUEL CHAVEZ JR. | CAA | 1619690344 |
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.