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Dr. William Sumner Logan, BSC,MSC,MD
Specialist in Charlotte, North Carolina
NPI 1013984996

William Sumner Logan is a Specialist based in Charlotte, NC. William Sumner Logan practices in Charlotte, NC and has the professional credentials of BSC,MSC,MD. The NPI Number for William Sumner Logan is 1013984996 and holds a License No. 15969 (North Carolina).

The current practice location address for William Sumner Logan is 1928 Randolph Rd, Charlotte, NC and can be reached out via phone at 704-344-8846 and via fax at 704-369-7999.

Location: 1928 Randolph Rd, Charlotte, NC, 28207-1105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013984996
Provider Name
William Sumner Logan
Credential
BSC,MSC,MD
Provider Entity Type
Individual
Gender
Male
Address
1928 Randolph Rd, Charlotte, NC, 28207-1105
Phone Number
704-344-8846
Fax Number
704-369-7999
Provider Enumeration Date
03/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8952485 05 NC
institution
Provider Business Practice Location Address Details
Address
1928 Randolph Rd
City
Charlotte
State
North Carolina
Zip
28207-1105
Phone Number
704-344-8846
Fax Number
704-369-7999
person
Provider Business Mailing Address Details
Address
1928 Randolph Rd
City
Charlotte
State
North Carolina
Zip
28207-1105
Phone Number
704-344-8846
Fax Number
704-369-7999
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
15969 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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