| NPI | 1689870941 |
|---|---|
| Doing Business As | LOGAN FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DON HOLLOMAN CEO 704-792-2203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2022-10-07 |