CHARLES AUGUSTUS LOGAN

DANVILLE, VA
NPI1518502822
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2019-11-11
Last Update Date2019-11-11
Business Address
CHARLES AUGUSTUS LOGAN
625 PINEY FOREST RD STE 307B
DANVILLE, VA 24540-2869
Phone number: 434-797-1292
Mailing Address
CHARLES AUGUSTUS LOGAN
625 PINEY FOREST RD STE 307B
DANVILLE, VA 24540-2869
Phone number: 434-797-1292
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