Mr. Logan Mackenzie Ryals - Jackson, MS

Mr. Logan Mackenzie Ryals

Student in an Organized Health Care Education/Training Program in Jackson, Mississippi

NPI 1215630157

Logan Mackenzie Ryals is a Student in an Organized Health Care Education/Training Program based in Jackson, MS. Logan Mackenzie Ryals practices in Jackson, MS. The NPI Number for Logan Mackenzie Ryals is 1215630157 and holds a License No. (Mississippi).

The current practice location address for Logan Mackenzie Ryals is 33 Northtown Rd Unit A, Jackson, MS and can be reached out via phone at 601-543-6656.

Location: 33 Northtown Rd Unit A, Jackson, MS, 39216-4500

NPI Number

1215630157

Provider Name

Logan Mackenzie Ryals

Credential

Provider Entity Type

Individual

Gender

Male

Address

33 Northtown Rd Unit A, Jackson, MS, 39216-4500

Phone Number

601-543-6656

Fax Number

Provider Enumeration Date

03/22/2023

Last Update Date

03/10/2024

Address

33 Northtown Rd Unit A

City

Jackson

State

Mississippi

Zip

39211-3004

Phone Number

601-543-6656

Fax Number

Address

33 Northtown Rd Unit A

City

Jackson

State

Mississippi

Zip

39211-3004

Phone Number

601-543-6656

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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