Individual
LOGAN C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1278 N LAFAYETTE DR, SUMTER, SC 29150-2964
(803) 774-4500
(803) 774-4650
Mailing address
1278 N LAFAYETTE DR, SUMTER, SC 29150-2964
(803) 774-4500
(803) 774-4650
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
218770
SC
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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