Logan, William C

Logan, William C is an individual health care provider with primary practice located at 103 S. Pine Street , Spartanburg SC 29302-1972. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Logan, William C can be contacted via phone (864) 327-1510.

Contact Information

Primary practice address
103 S. Pine Street Spartanburg SC 29302-1972
Fax: (864) 327-1662
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 23138 South Carolina

Profile Details

NPI number 1588603682
LBN Legal business name Logan, William C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Feb 27th, 2012 - about 12 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 1588603682 NPPES
South Carolina MEDICAID T72123

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