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Individual
LOGAN HATLEY
Active
Individual
LOGAN HATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, CPT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT03092
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000042328
BOC CERTIFICATION
—
01
—
AT03092
SOUTH CAROLINA ATHLETIC TRAINING LICENSURE
SC
Enumeration date
03/05/2019
Last updated
08/25/2021
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