Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOGAN WILLIAM ELLIS
Active Sole ProprietorLOGAN WILLIAM ELLIS is a Physician Assistant healthcare provider located in GREENVILLE, South Carolina. NPI 1952999294 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GREENVILLE, SC
Registration Details
- NPI Number
- 1952999294
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 4, 2021 (5.5946662723706 yrs)
- Last Updated
- Aug 10, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 PATEWOOD DR STE C300GREENVILLE, SC, 296156324Browse SC providers · Browse ZIP 29615
- Phone
- 8649080122
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GREENVILLE, SC
| Name | Credential | NPI |
|---|---|---|
| CHRISTINE POWERS KOOP | PA-C | 1598761082 |
| KATHRYN M. MCFADDEN | PA-C | 1528050101 |
| AUREL KEEW | PA | 1457334609 |
| SHEA C HARRELSON | PA | 1306822325 |
| ALLISON CHRISTY SIMON | PA | 1366428385 |
| KRISTI TOOTHMAN CARLSON | PA | 1265418297 |
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.