Individual
LOGAN S BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
222 S HERLONG AVE, ROCK HILL, SC 29732-1158
(803) 329-6886
Mailing address
222 S HERLONG AVE, ROCK HILL, SC 29732-1158
(803) 329-1234
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/26/2011
Last updated
11/27/2011
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