Alexander C Logan (NPI# 1063492197, PAC ID# 4789747866) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1063492197 |
| PAC ID by PECOS | 4789747866 |
| Professional Enrollment ID | I20100903000371 |
| Full Name | Alexander C Logan |
| Organization Legal Name | PALMETTO PATHOLOGY PA |
| Address |
3655 Mitchell St Loris SC 29569-2827 |
| Phone Number | 8437167000 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 0345370839 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420105 | MCLEOD LORIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3655 Mitchell St, Loris, SC 29569-2827 | 8437167000 | PALMETTO PATHOLOGY PA |
| Organization Legal Name | PALMETTO PATHOLOGY PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan M Stuber | Pathology | Palmetto Pathology Pa | 3655 Mitchell St, Loris, SC 29569-2827 |
| Street Address |
3655 MITCHELL ST |
| City | LORIS |
| State | SC |
| Zip | 29569-2827 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marshall Scott Wise | Family Medicine | Southern Living Emergency Physicians LLC | 3655 Mitchell St, Loris, SC 29569-2827 |
| Wilma I Rabon | Certified Registered Nurse Anesthetist (crna) | Mcleod Loris Seacoast Hospital | 3655 Mitchell St, Loris, SC 29569-2827 |
| Joann Hannah | Certified Registered Nurse Anesthetist (crna) | Mcleod Loris Seacoast Hospital | 3655 Mitchell St, Loris, SC 29569-2827 |
| Joseph Szulewski | Internal Medicine | Mcleod Loris Seacoast Hospital | 3655 Mitchell St, Loris, SC 29569-2827 |
| Tammy D Moraska | Certified Registered Nurse Anesthetist (crna) | Mcleod Loris Seacoast Hospital | 3655 Mitchell St, Loris, SC 29569-2827 |
| Carmen A Esper | Certified Registered Nurse Anesthetist (crna) | Mcleod Loris Seacoast Hospital | 3655 Mitchell St, Loris, SC 29569-2827 |
| Brandi L Nobles | Certified Registered Nurse Anesthetist (crna) | Mcleod Loris Seacoast Hospital | 3655 Mitchell St, Loris, SC 29569-2827 |
| David C Smith Ii | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 3655 Mitchell St, Loris, SC 29569-2827 |
| Nancy Anne Ciancione | Certified Registered Nurse Anesthetist (crna) | Mcleod Loris Seacoast Hospital | 3655 Mitchell St, Loris, SC 29569-2827 |
| James D Woodcock | Nurse Practitioner | Acs Primary Care Physicians - Southeast PC | 3655 Mitchell St, Loris, SC 29569-2827 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Z Touloukian | Hematology/oncology | Associated Medical Specialists Pa | 3008 Bayboro St, Loris, SC 29569-2714 |
| Angela M Brinegar | Nurse Practitioner | Associated Medical Specialists Pa | 3008 Bayboro St, Loris, SC 29569-2714 |
| Wanda W Grainger | Nurse Practitioner | Mcleod Physician Associates II | 3109 Casey St, Suite B, Loris, SC 29569-2807 |
| Gary J Barrett | Internal Medicine | Mcleod Physician Associates II | 3109 Casey St, Loris, SC 29569-2807 |
| Mary E Steppling | Certified Registered Nurse Anesthetist (crna) | Mcleod Loris Seacoast Hospital | 3655 Mitchell St, Loris, SC 29569-2827 |
| Kyaw Hein | Internal Medicine | Mcleod Loris Seacoast Hospital | 3655 Mitchell St, Loris, SC 29569-2827 |
| Joshua B Compton | Certified Registered Nurse Anesthetist (crna) | Mcleod Loris Seacoast Hospital | 3655 Mitchell St, Loris, SC 29569-2827 |
| Joseph B Villanueva | Internal Medicine | Mcleod Loris Seacoast Hospital | 3655 Mitchell St, Loris, SC 29569-2827 |
| Matthew G Moore | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 3655 Mitchell St, Loris, SC 29569-2827 |
| Erika R King | Internal Medicine | Mcleod Loris Seacoast Hospital | 3655 Mitchell St, Loris, SC 29569-2827 |
| Find all physicians in zip 29569 | |||
| City | LORIS |
| Zip Code | 29569 |
| Specialty | PATHOLOGY |
| City + Specialty | LORIS + PATHOLOGY |
Please comment or provide details below to improve the information on Alexander C Logan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.