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NPI Code Detail

MEDICARE: DR. LOGAN JAMES MCCLURE MD

MEDICARE: DR. LOGAN JAMES MCCLURE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician73526TN

General Provider Information

NPI Number : 1184205825
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOGAN JAMES MCCLURE MD
Provider Business Mailing Address
First Line : 853 JEFFERSON AVE RM E102
Second Line :
City : MEMPHIS
State : TN
Zip : 38103-2804
Country : US
Telephone Number : 901-448-4795
Fax Number : 901-448-7075
Provider Business Practice Location Address
First Line : 920 MADISON AVE STE 447
Second Line :
City : MEMPHIS
State : TN
Zip : 38103-3438
Country : US
Telephone Number : 901-448-4795
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2021
Last Update Date : 05/11/2026

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Directions to “ DR. LOGAN JAMES MCCLURE MD” Practice Location

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