Individual
JOSEPH WILLIS LOGAN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4780
(864) 725-4778
Mailing address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4780
(864) 725-4778
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
8327
SC
207R00000X
Internal Medicine Physician
8327
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083279
—
SC
Enumeration date
08/08/2006
Last updated
12/03/2014
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