Individual
LOGAN DARYL PROFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1220 SPRUCE ST, BELMONT, NC 28012-3370
(704) 825-5333
(704) 825-1751
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2024-00030
NC
Other
Enumeration date
04/07/2020
Last updated
01/31/2024
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