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LOGAN SHAYNE MCCORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2040 CLUB POND RD, RAEFORD, NC 28376-4000
(850) 544-1993
Mailing address
182 LOCHWOOD DR, RAEFORD, NC 28376-6692
(850) 544-1993

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14249
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/06/2024
Last updated
08/01/2025
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