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Search › Georgia › Anesthesiologist Assistant

Logan Balkcom

NPI 1891457768 · on the registry since 2021 · sole proprietor

Practice

Address
901 18th St E
Tifton, GA 31794
Phone
(229) 382-7120
Organisation at this address
Tifton Radiology Pc
Southwell Ambulatory Inc
Tift Regional Medical Center
South Georgia Vascular Clinic
Tift Regional Health System Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
168

Registry record

Primary taxonomy
Anesthesiologist Assistant
367H00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-10-08

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 Georgia