# JOSEPH W LOGAN MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851569917
- **Authorized official:** JOSEPH WILLIS LOGAN SR. MD (OWNER)
- **Authorized official phone:** (864) 227-1052

## Contact information

- **Practice address:** 214 COWHEAD CREEK ROAD, GREENWOOD, SC 29646
- **Practice address phone:** (864) 227-1868
- **Mailing address:** PO BOX 2008-0008, GREENWOOD, SC 29646
- **Mailing address phone:** (864) 227-1868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2008
- **Last updated:** 02/12/2008