Dr Stephen S Logue, MD | |
1843 Quiet Cv, Fayetteville, NC 28304-3857 | |
(910) 483-8080 | |
(910) 483-3258 |
Full Name | Dr Stephen S Logue |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1843 Quiet Cv, Fayetteville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013946698 | NPI | - | NPPES |
8952494 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 00-25971 (North Carolina) | Primary |
Entity Name | Village Internal Medicine, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326074592 PECOS PAC ID: 4880785823 Enrollment ID: O20070806000735 |
Mailing Address | Practice Location Address |
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Dr Stephen S Logue, MD 1843 Quiet Cv, Fayetteville, NC 28304-3857 Ph: (910) 483-8080 | Dr Stephen S Logue, MD 1843 Quiet Cv, Fayetteville, NC 28304-3857 Ph: (910) 483-8080 |
Kenneth Melton, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 557 Sandhurst Dr, Fayetteville, NC 28304 Phone: 910-484-8114 Fax: 910-484-1564 | |
Kenneth Russell Manning, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6910 Fax: 910-609-5219 | |
San San Wai, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2300 Ramsey St, Va Medical Center, Fayetteville, NC 28301 Phone: 910-488-2120 | |
Dr. Sabena Johnson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Ramsey St, Fayetteville, NC 28301 Phone: 910-488-2120 | |
David Tat, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100 Fax: 910-678-0110 | |
Dr. Ghanshyam Pradyumna Dwivedi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1778 Metromedical Dr, Fayetteville, NC 28304 Phone: 910-483-4680 Fax: 910-484-2704 |