Individual
DR. LOGAN SIMON D'SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1119 HENDERSONVILLE RD, SUITE 200, ASHEVILLE, NC 28803-7776
(828) 274-6003
(828) 274-6004
Mailing address
1119 HENDERSONVILLE RD, SUITE 200, ASHEVILLE, NC 28803-7776
(828) 274-6003
(828) 274-6004
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2015-00429
NC
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2015-00429
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2010
Last updated
10/12/2020
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