Logan Balkcom
Logan Balkcom is an Anesthesiology Assistant in Tifton, Georgia. Qualified in 2021, 5 years ago. Practices with Tift Regional Health System Inc, a 292-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 5
- Licensed in
- GA
- In the registry since
- 2021
Practice location Address checks out
901 18th St ETifton, GA 31794-3648
Phone: (229) 382-7120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiologist Assistant (primary) | Taxonomy 367H00000X · Licence 10709 (GA) |
|---|
Record details
| NPI number | 1891457768 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 8, 2021 |
| Last updated in NPPES | October 8, 2021 |
| Certification date | September 8, 2021 |
| Mailing address | 901 18th St E, Tifton, GA 31794-3648 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Tift Regional Health System Inc — 292 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Tifton
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Clinton Jeffery Brown, AA
901 18th St E, Tifton, GA 31794-3648 · (229) 353-6208
-
Mr. Manuel Chavez Jr., CAA
901 18th St E, Tifton, GA 31794-3648 · (229) 353-7050
-
Lacey Jackson Landon, AA
901 18th St E, Tifton, GA 31794-3648 · (229) 382-7120