Penn, Frances Elizabeth Logan

Penn, Frances Elizabeth Logan is an sole proprietor health care provider with primary practice located at 16741 Ga Highway 67 Suite F, Statesboro GA 30458-2528. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Penn, Frances Elizabeth Logan can be contacted via phone (912) 681-4555.

Contact Information

Primary practice address
16741 Ga Highway 67 Suite F Statesboro GA 30458-2528
Phone: (912) 681-4555
Fax: (912) 681-6551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME103758 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 67374 Georgia

Profile Details

NPI number 1447340773
LBN Legal business name Penn, Frances Elizabeth Logan
Credentials M.D, M.S.P.H.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Jul 30th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447340773 NPPES
Florida MEDICAID 000989600

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