Logan, Cynthia A

Logan, Cynthia A is an individual health care provider with primary practice located at 125 Vance Hill Dr , Mills River NC 28759. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Logan, Cynthia A can be contacted via phone (828) 891-7522.

Contact Information

Primary practice address
125 Vance Hill Dr Mills River NC 28759
Fax: (828) 891-7523
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101222161 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2016-01589 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 42113 Tennessee

Profile Details

NPI number 1306817259
LBN Legal business name Logan, Cynthia A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Apr 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306817259 NPPES
Virginia MEDICAID 1306817259
Virginia Other P01081173
Virginia MEDICAID 3000080

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