KEITH LOGAN

CHARLOTTE, NC
NPI1134191463
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NC  9800612)
Enumeration Date2006-02-02
Last Update Date2011-08-05
Business Address
-- KEITH LOGAN MD
2701 COLTSGATE RD #105
CHARLOTTE, NC 28211-3534
Phone number: 704-541-1213
Mailing Address
-- KEITH LOGAN MD
7804 FAIRVIEW RD STE C PMB 302
CHARLOTTE, NC 28226-4999
Phone number: 704-541-1213
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