Individual
LOGAN WOLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 876-8023
Mailing address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425
(843) 876-8023
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
52542
SC
207P00000X
Emergency Medicine Physician
Primary
63226
TN
Other
Enumeration date
06/19/2018
Last updated
05/25/2021
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