License holder summary

LOGAN, MARY STREET CHAMPION, MD is a Medical - Physician licensed to practice in Georgia. The address on file for LOGAN, MARY STREET CHAMPION, MD is 265 SANDERS ROAD, Macon 31210. This doctor license is current. The license was granted 08/03/1995 and expired on 12/31/2017.

Georgia

Composite Medical Board

LOGAN, MARY STREET CHAMPION, MD
Medical - Physician
License number
040466
Date granted
08/03/1995
Date expires
12/31/2017
Class
Medical - Physician
Status
Active
Address
265 SANDERS ROAD
georgiadoctors.net
ID 38060597
LAST UPDATED 2026-03-28 12:20:23 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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