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Contact Information

JON A LOGAN, RPA
621 NORTH AVE
STE. C-30
ATLANTA, GA30354-1430
 Phone: 678-904-6820
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Computed Tomography Radiologic Technologist

2471C3401X
Indicates primary specialty

NPI Profile & details for JON A LOGAN · (Male)

NPI Number 1215133038
Status Active
Credentials RPA
Entity Individual
Enumeration date 06/27/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • GA License # 06WI1204
  • GA License # 309371
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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