Relyea-Logan, Sarah E
Relyea-Logan, Sarah E is an sole proprietor health care provider with primary practice located at 710 Johnnie Dodds Blvd Ste 200 , Mount Pleasant SC 29464-3045. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Relyea-Logan, Sarah E can be contacted via phone (843) 800-1303.Contact Information
Primary practice address
710 Johnnie Dodds Blvd Ste 200
Mount Pleasant SC 29464-3045
Phone: (843) 800-1303
Fax: (888) 316-7716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 39035 | South Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101-236413 | Virginia |
Profile Details
| NPI number | 1043292576 |
|---|---|
| LBN Legal business name | Relyea-Logan, Sarah E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Sep 7th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043292576 | NPPES |
| Virginia | MEDICAID | 010093201 | |
| Virginia | MEDICAID | 010136768 |
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