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NPI Code Detail

MEDICARE: DR. SARAH E RELYEA-LOGAN MD

MEDICARE:  DR. SARAH E RELYEA-LOGAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician39035SC
2207Q00000XFamily Medicine Physician0101-236413VA

Other Identifiers

General Provider Information

NPI Number : 1043292576
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH E RELYEA-LOGAN MD
Provider Business Mailing Address
First Line : 710 JOHNNIE DODDS BLVD STE 200
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-3045
Country : US
Telephone Number : 843-800-1303
Fax Number :
Provider Business Practice Location Address
First Line : 710 JOHNNIE DODDS BLVD STE 200
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-3045
Country : US
Telephone Number : 843-800-1303
Fax Number : 888-316-7716
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 12/01/2025

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Directions to “ DR. SARAH E RELYEA-LOGAN MD” Practice Location

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