NPI 1063492197

Alexander C Logan, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Loris, SC

Practice location

Address: 3655 Mitchell St Department of Pathology, Loris, SC 29569-2827
Phone: (843) 716-7000
Fax: (843) 716-7272
Mailing address: PO Box 3099, Myrtle Beach, SC 29578-3099

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 14453 (SC)

Other Pathology providers in South Carolina →

Registry record

NPI: 1063492197
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jan 2006
Record last updated: 7 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.