Search › South Carolina › 363LA2100X
Logan Brown
NPI 1760004923 · on the registry since 2020
Practice
- Address
- 920 Doug White Dr Ste 460
Myrtle Beach, SC 29572 - Phone
- (843) 449-2336
- Fax
- (843) 497-0625
- Organisation at this address
- Coastal Carolina Primary Care, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 94
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 390200000X
363LA2100X - Licence states on file
- SC, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina