Logan Donevant, CAA
Anesthesiologist Assistant in Savannah, GA. Individual provider (NPI-1).
NPI number1982186276
StatusActive
Last updated in NPPESAug 21, 2023
Details
- NPI
- 1982186276
- Entity type
- Individual (NPI-1)
- Name
- Logan Donevant
- Credential
- CAA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 3, 2018
- Certification date
- Aug 21, 2023
- Last updated
- Aug 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 8994 | GA | Yes |
Practice location
11705 Mercy BlvdSavannah, GA 31419-1711
Phone 912-819-4100
Mailing address
5719 Pickens AveMyrtle Beach, SC 29577-2223
Phone 843-360-9923
Other practice locations
5719 Pickens Ave
Myrtle Beach, SC 29577-2223
Myrtle Beach, SC 29577-2223
Phone 843-360-9923
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All 127 Anesthesiologist Assistant providers in Savannah · All 7,528 providers in Savannah
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