Provider Demographics
NPI:1770190217
Name:LOGAN, ROBERT LEWIS III (RPSGT, CCSH)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LEWIS
Last Name:LOGAN
Suffix:III
Gender:M
Credentials:RPSGT, CCSH
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Mailing Address - Street 1:700 19TH STREET SOUTH
Mailing Address - Street 2:NEUROLOGY SLEEP SERVICE SUITE 127
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233
Mailing Address - Country:US
Mailing Address - Phone:205-933-8101
Mailing Address - Fax:205-939-4574
Practice Address - Street 1:700 19TH STREET SOUTH
Practice Address - Street 2:NEUROLOGY SLEEP SERVICE SUITE 127
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233
Practice Address - Country:US
Practice Address - Phone:205-933-8101
Practice Address - Fax:205-939-4574
Is Sole Proprietor?:No
Enumeration Date:2020-09-29
Last Update Date:2023-10-03
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA23677246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other