Individual
LOGAN DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
Mailing address
11135 US HIGHWAY 258 S, PINETOPS, NC 27864-9480
(336) 405-7731
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
347377
NC
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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