Provider Demographics
NPI:1487002267
Name:RHEA, LOGAN PATRICK-CARPENTER (DO)
Entity Type:Individual
Prefix:DR
First Name:LOGAN
Middle Name:PATRICK-CARPENTER
Last Name:RHEA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NOVANT HEALTH CANCER INSTITUTE - ELIZABETH
Mailing Address - Street 2:125 QUEENS RD. SUITE 420
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204
Mailing Address - Country:US
Mailing Address - Phone:980-302-6450
Mailing Address - Fax:
Practice Address - Street 1:NOVANT HEALTH CANCER INSTITUTE - ELIZABETH
Practice Address - Street 2:125 QUEENS RD. SUITE 420
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204
Practice Address - Country:US
Practice Address - Phone:980-302-6450
Practice Address - Fax:980-302-6505
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-02
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116029273390200000X
NC2023-01945207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program