Individual
LOGAN ALEXANDER PUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 S KINGS DR FL 3, CHARLOTTE, NC 28207-2134
(704) 446-1242
Mailing address
2000 SW 16TH ST APT 81, GAINESVILLE, FL 32608-1435
(603) 809-8413
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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