Individual
LOGAN ZANE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 DOUG WHITE DR STE 460, MYRTLE BEACH, SC 29572-4182
(843) 449-2336
(843) 497-0625
Mailing address
920 DOUG WHITE DR STE 460, MYRTLE BEACH, SC 29572-4182
(843) 449-2336
(843) 497-0625
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
28992
SC
363LA2100X
Acute Care Nurse Practitioner
5013697
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2020
Last updated
10/10/2024
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