Individual
LOGAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 2ND LOOP RD, FLORENCE, SC 29505-2834
(843) 461-5125
Mailing address
1120 2ND LOOP RD, FLORENCE, SC 29505-2834
(843) 461-5125
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
—
—
Other
Enumeration date
05/28/2026
Last updated
06/04/2026
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