person
Logan E Hyatt, PA
Medical Physician Assistant in Greeneville, Tennessee
NPI 1114924222

Logan E Hyatt is a Medical Physician Assistant based in Belfast, TN and is specialized in Medical. Logan E Hyatt practices in Greeneville, TN and has the professional credentials of PA. The NPI Number for Logan E Hyatt is 1114924222 and holds a License No. 3711 (Tennessee).

The current practice location address for Logan E Hyatt is 555 Justis Dr, Greeneville, TN and can be reached out via phone at 423-254-6460 and via fax at 833-908-2070.

Location: 555 Justis Dr, Greeneville, TN, 04915-2012
person
Provider Profile Details
NPI Number
1114924222
Provider Name
Logan E Hyatt
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
555 Justis Dr, Greeneville, TN, 04915-2012
Phone Number
423-254-6460
Fax Number
833-908-2070
Provider Enumeration Date
07/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
700C810580 01 MI BLUE CROSS OF MI
institution
Provider Business Practice Location Address Details
Address
555 Justis Dr
City
State
Zip
37745-4288
Phone Number
423-254-6460
Fax Number
833-908-2070
person
Provider Business Mailing Address Details
Address
555 Justis Dr
City
State
Zip
37745-4288
Phone Number
423-254-6460
Fax Number
833-908-2070
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
3711 (Tennessee)
Definition
Definition to come...
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