Organization
JOSEPH W LOGAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WILLIS LOGAN SR. MD (OWNER)
(864) 227-1052
Entity
Organization
Contact information
Practice address
214 COWHEAD CREEK ROAD, GREENWOOD, SC 29646
(864) 227-1868
Mailing address
PO BOX 2008-0008, GREENWOOD, SC 29646
(864) 227-1868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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