Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICKMON OLIVER LOGAN, PA-C
ActiveRICKMON OLIVER LOGAN, PA-C is a Physician Assistant healthcare provider located in GASTONIA, North Carolina. NPI 1457689366 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GASTONIA, NC
Registration Details
- NPI Number
- 1457689366
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2009 (16.7126517588 yrs)
- Last Updated
- Mar 15, 2012
- License
-
0010-02088 (NC)
Practice Information
- Address
-
2555 COURT DRSUITE 200GASTONIA, NC, 280542134Browse NC providers · Browse ZIP 28054
- Phone
- 7048672141
- Fax
- 7048672308
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GASTONIA, NC
| Name | Credential | NPI |
|---|---|---|
| MARTINE ELIZABETH WURST | PA-C | 1801892807 |
| MR. MATTHEW BOGAERT | PA-C | 1740275734 |
| MS. MICHELE MARIA JARBEAU | PA | 1932194503 |
| SHARON ANNETTE SMITH | PA-C | 1518954460 |
| THERESA C. FOGARTY | PA-C | 1346237286 |
| MR. TIMOTHY ALLEN BOYD | PA-C | 1033109194 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.