Individual
PATRICK LOGAN DEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, M.ED, LAT, ATC
Contact information
Practice address
9201 UNIVERSITY CITY BLVD, CHARLOTTE, NC 28223-0001
(910) 206-1860
Mailing address
2309 PRESTIGIOUS LN APT P, CHARLOTTE, NC 28269-9629
(910) 206-1860
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-3924
NC
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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