Alexander C Logan III MD

NPI 1063492197 - Pathology - 207ZP0102X

NPI Details
NPI 1063492197
Gender Male
Enumeration Date 01/17/2006
Last Updated 08/07/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
3655 MITCHELL ST
DEPARTMENT OF PATHOLOGY
LORIS SC, 29569-2827, US
Phone (843) 716-7000
Fax (843) 716-7272
Business Location
PO BOX 3099
MYRTLE BEACH SC, 29578-3099, US
Phone (843) 716-7000
Fax (843) 716-7272
Toxanomy
Taxonomy Code 207ZP0102X
License State South Carolina
License Number 14453
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According to our database, Alexander C Logan III MD NPI is 1063492197, taxonomy code is 207ZP0102X and license number is 14453, license state is located at South Carolina. Alexander C Logan III MD physically located at 3655 Mitchell St, Loris SC, 29569-2827. NPI Number Alexander C Logan III MD has the Individual type.

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1063492197 NPI number is provided on an as is basis without warranty of any kind. 1063492197 is maintained by the National Plan & Provider Enumeration System. The contents of Alexander C Logan III MD are for informational purposes only.