William Sumner Logan B.SC., M.SC., M.D.

NPI 1013984996 - Specialist - 174400000X

NPI Details
NPI 1013984996
Gender Male
Enumeration Date 03/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1928 RANDOLPH RD
SUITE 316
CHARLOTTE NC, 28207-1105, US
Phone (704) 344-8846
Fax (704) 369-7999
Business Location
1928 RANDOLPH RD
SUITE 316
CHARLOTTE NC, 28207-1105, US
Phone (704) 344-8846
Fax (704) 369-7999
Toxanomy
Taxonomy Code 174400000X
License State North Carolina
License Number 15969
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According to our database, Dr. William Sumner Logan B.SC., M.SC., M.D. NPI is 1013984996, taxonomy code is 174400000X and license number is 15969, license state is located at North Carolina. William Sumner Logan B.SC., M.SC., M.D. physically located at 1928 Randolph Rd, Charlotte NC, 28207-1105. NPI Number William Sumner Logan B.SC., M.SC., M.D. has the Individual type.

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1013984996 NPI number is provided on an as is basis without warranty of any kind. 1013984996 is maintained by the National Plan & Provider Enumeration System. The contents of William Sumner Logan B.SC., M.SC., M.D. are for informational purposes only.