Dr. Latania K. Logan
M.D., MSPH | Pediatric Infectious Diseases | Female
Dr. Latania K. Logan, M.D., MSPH is a Atlanta, Georgia based Pediatric doctor with medical specialization in
Pediatric Infectious Diseases. Dr. Latania K. Logan is also known as
Latania K. Broyls.
Current practice location of Dr. Latania K. Logan is
1400 Tullie Rd Ne, Atlanta, Georgia - 30329-2309. She can be contacted on phone at
404-785-5437.
Dr. Latania K. Logan is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Latania K. Logan is
1558517144 which was assigned by NPPES on 14 Aug, 2008 and it was last updated on 29 Jun, 2022.
Dr. Latania K. Logan license number is
92099 for Pediatrics Pediatric Infectious Diseases (2080P0208X) in Georgia.
Dr. Latania K. Logan is trained to take care of children in the diagnosis, treatment and prevention of infectious diseases. Infectious Diseases pediatrician can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Complete Profile:
Dr. Latania K. Logan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Infectious Diseases |
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| Provider Name : | Dr. Latania K. Logan |
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| Other Name : | Latania K. Broyls |
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| Credential : | M.D., MSPH |
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| Gender : | Female |
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Business Address:
Dr. Latania K. Logan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1400 Tullie Rd Ne
Atlanta, GA, 30329-2309
United States |
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| Phone Number : | 404-785-5437 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1558517144 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Aug, 2008 |
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| Last Updated On : | 29 Jun, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Latania K. Logan are as mentioned. Primary taxonomy code for Dr. Latania K. Logan, M.D., MSPH is
2080P0208X (Pediatrics Pediatric Infectious Diseases).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 036-113313 | IL |
| 2080P0208X | Pediatrics Pediatric Infectious Diseases | No | 036-113313 | IL |
| 2080P0208X | Pediatrics Pediatric Infectious Diseases | Yes | 92099 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Latania K. Logan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 336-074676 | Other | IL | STATE LICENSE, CONTROLLED SUBSTANCE |
| 92099 | Other | GA | STATE LICENSE NUMBER |
| 036-113313 | Other | IL | STATE LICENSE NUMBER |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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1725 W HARRISON ST, STE 710
CHICAGO, IL, 60612-3841
United States | CHICAGO, IL | 312-942-6396 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1725 W Harrison St, Ste 710
Chicago, IL, 60612-3841
United States |
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| Phone Number : | 312-942-6396 |
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| Fax Number : | 312-942-4168 |
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Business Location:
Patients can refer following map for directions to
Dr. Latania K. Logan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.