Individual
LOGAN HILLEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 HOSPITAL DR STE 120, MOUNT PLEASANT, SC 29464-3204
(843) 849-8418
Mailing address
1523 HEATHER GLEN DR, LAKE SAINT LOUIS, MO 63367-4241
(314) 709-8999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
07/03/2024
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