MARY STREET LOGAN (MD) – Anesthesiology Physician, NPI 1225021918

MARY STREET LOGAN (MD) is a healthcare provider. based in Thomaston, Georgia. specializing in Anesthesiology Physician. They hold the professional credentials MD. They hold a License No. 040466 (GA). The NPI Number for MARY STREET LOGAN (MD) is 1225021918

Main info

Female
Name
MARY STREET LOGAN (MD)
NPI
1225021918
Phone
(706) 647-8111
Address
PO BOX 589
Enumeration Date
26 August 2005
Last Update Date
3 March 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MARY STREET LOGAN (MD)

  • 589, Seal Harbor Road, Spruce Head, South Thomaston, Knox County, Maine, 04858, United States

    THOMASTON, GA 302860008

    Phone: (706) 647-8111

    Fax: (706) 647-4389

    Type: Mailing

  • Upson Regional Medical Center, 801, West Gordon Street, Thomaston, Upson County, Georgia, 30286, United States

    THOMASTON, GA 302863426

    Phone: (706) 647-8111

    Fax: (706) 647-4389

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30286)

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Reviews

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Frequently asked questions

What federal number belongs to MARY STREET LOGAN (MD)?
The federal identifier for MARY STREET LOGAN (MD) is NPI 1225021918.
Does this profile mean MARY STREET LOGAN (MD) is currently active?
Yes — MARY STREET LOGAN (MD) appears active in the national provider directory.
What field does MARY STREET LOGAN (MD) work in?
You can think of MARY STREET LOGAN (MD) as practicing within Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARY STREET LOGAN (MD)?
The page summarizes Thomaston, Georgia for MARY STREET LOGAN (MD); expand the address list for detail.
How can I contact MARY STREET LOGAN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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