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Matthew Logue
NPI 1104275510 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2009 Mossy Cove
Brandon, MS 39042 - Phone
- (601) 519-7766
Registry record
- Primary taxonomy
- Community Health Worker
172V00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-06-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi