=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013823327
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LOGAN LAWSON SWEAT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/19/2026
-----------------------------------------------------
Last Update Date | 08/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 215 N COLEMAN ST
-----------------------------------------------------
City | SWAINSBORO
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30401-3530
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 478-237-2638
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 96 MCAFEE RD
-----------------------------------------------------
City | WRIGHTSVILLE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31096-4047
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | RPH035721
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------