William C Logan Jr, MD | |
103 S. Pine Street, Spartanburg, SC 29302-1972 | |
(864) 327-1510 | |
(864) 327-1662 |
Full Name | William C Logan Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine - Geriatric Medicine |
Location | 103 S. Pine Street, Spartanburg, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588603682 | NPI | - | NPPES |
T72123 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 23138 (South Carolina) | Primary |
Entity Name | Carelon Medical Partners, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20171201002832 |
Mailing Address | Practice Location Address |
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William C Logan Jr, MD 103 S. Pine Street, Spartanburg, SC 29302-1972 Ph: (864) 327-1510 | William C Logan Jr, MD 103 S. Pine Street, Spartanburg, SC 29302-1972 Ph: (864) 327-1510 |
Dr. Tondre Buck, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7050 Fax: 864-560-0800 | |
Adam Evec, DO Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St Ste 500, Spartanburg, SC 29303 Phone: 864-560-4304 Fax: 864-560-4023 | |
Larry E Kibler, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 1083 Boiling Springs Rd, Spartanburg, SC 29303 Phone: 864-583-8647 Fax: 864-542-2227 | |
Dr. Vikas Dembla, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7050 Fax: 864-560-0800 | |
Dr. Andrew Omoit Ekatan, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Suite 401, Spartanburg, SC 29303 Phone: 864-560-6654 Fax: 864-560-7353 | |
Stetson Reed Bickley, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6522 Fax: 888-972-8644 | |
Nalin K Srivastava, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1083 Boiling Springs Rd, Spartanburg, SC 29303 Phone: 864-583-8647 Fax: 864-542-2227 |