Individual
MISS LOGAN ELIZABETH STRANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6911 SHANNON WILLOW RD, CHARLOTTE, NC 28226-1346
(704) 540-3777
Mailing address
5725 CARNEGIE BLVD APT 119, CHARLOTTE, NC 28209-4870
(724) 996-1067
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NC
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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