Healthcare Provider Details

I. General information

NPI: 1013823327
Provider Name (Legal Business Name): LOGAN LAWSON SWEAT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 N COLEMAN ST
SWAINSBORO GA
30401-3530
US

IV. Provider business mailing address

96 MCAFEE RD
WRIGHTSVILLE GA
31096-4047
US

V. Phone/Fax

Practice location:
  • Phone: 478-237-2638
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH035721
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: