NPI 1114924222

Logan E Hyatt, PA

Practitioner Medical Physician Assistant Greeneville, TN

Practice location

Address: 555 Justis Dr, Greeneville, TN 37745-4288
Phone: (423) 254-6460
Fax: (833) 908-2070
Mailing address: PO Box 26194, Belfast, ME 04915-2012

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 3711 (TN)

Other Physician Assistant providers in Tennessee →

Registry record

NPI: 1114924222
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2005
Record last updated: 7 Jun 2023

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.