Individual
MR. LOGAN JAMES BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
704 HARTHER DR, JACKSONVILLE, NC 28540-9221
(910) 455-4173
Mailing address
704 HARTHER DR, JACKSONVILLE, NC 28540-9221
(910) 455-4173
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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