Organization
MID CAROLINA PSYCHIATRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH LOGAN MD (OWNER)
(704) 209-9470
Entity
Organization
Contact information
Practice address
210 N CHURCH ST UNIT 1015, CHARLOTTE, NC 28202-2264
(704) 209-9470
Mailing address
210 N CHURCH ST UNIT 1015, CHARLOTTE, NC 28202-2264
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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