Organization
CAROLINA PSYCHIATRIC ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH LOGAN M.D. (OWNER/PROVIDER)
(704) 541-1213
Entity
Organization
Contact information
Practice address
2701 COLTSGATE RD, SUITE 105, CHARLOTTE, NC 28211-3534
(704) 541-1213
(704) 541-4210
Mailing address
2701 COLTSGATE RD, SUITE 105, CHARLOTTE, NC 28211-3534
(704) 541-1213
(704) 541-4210
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9800612
NC
Other
Enumeration date
06/21/2011
Last updated
09/08/2011
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