Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Street Logan, MD

Individual provider Anesthesiology Physician · NPI 1225021918

Mary Street Logan, MD is an Anesthesiology Physician in Thomaston, Georgia. Licensed in Georgia. Registered with an NPI since 2005.

Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

801 W Gordon St
Thomaston, GA 30286-3426
Phone: (706) 647-8111
Fax: (706) 647-4389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 040466 (GA)

Record details

NPI number1225021918
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 26, 2005
Last updated in NPPESMarch 3, 2010

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