NPI 1104275510

Matthew Logue

Practitioner Community Health Worker Brandon, MS

Practice location

Address: 2009 Mossy Cove, Brandon, MS 39042
Phone: (601) 519-7766
Mailing address: 2009 Mossy Cv, Brandon, MS 39042-2091

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Mississippi →

Registry record

NPI: 1104275510
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jun 2016
Record last updated: 7 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.