Phillips, Maxie Logan

Phillips, Maxie Logan is an individual health care provider with primary practice located at 167 Ashley Ave , Charleston SC 29425-8905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Phillips, Maxie Logan can be contacted via phone (843) 792-4316.

Contact Information

Primary practice address
167 Ashley Ave Charleston SC 29425-8905
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 39352 South Carolina

Profile Details

NPI number 1598115321
LBN Legal business name Phillips, Maxie Logan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2016
Last updated Aug 31st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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