Organization
LOGAN GRADDY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOGAN GRADDY MD (OWNER)
(919) 475-9160
Entity
Organization
Contact information
Practice address
910 BROAD ST, DURHAM, NC 27705-4142
(919) 416-4191
(888) 805-6175
Mailing address
910 BROAD ST, DURHAM, NC 27705-4142
(919) 416-4191
(888) 805-6175
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2007000070
NC
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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