Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES AUGUSTUS LOGAN JR.
Active Sole ProprietorCHARLES AUGUSTUS LOGAN JR. is a Community Health Worker healthcare provider located in DANVILLE, Virginia. NPI 1518502822 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · DANVILLE, VA
Registration Details
- NPI Number
- 1518502822
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 11, 2019 (6.7970416150487 yrs)
- Last Updated
- Nov 11, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
625 PINEY FOREST RD STE 307BDANVILLE, VA, 245402869Browse VA providers · Browse ZIP 24540
- Phone
- 4347971292
- Primary Specialty
-
Community Health Worker
172V00000X
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.