Individual
LOGAN BAKER PRIDGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
704 PLAZA BLVD STE I, KINSTON, NC 28501-1567
(252) 526-0279
Mailing address
131 ENTERPRISE RD, JOHNSTOWN, NY 12095-3326
(252) 526-0279
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1148A01
NC
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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