| NPI | 1104572411 |
|---|---|
| Other Name | VIRTUAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | MATTHEW T LOGAN President And CEO 864-725-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-10-18 |