Individual
LATONYA MICHELLE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-1401
Mailing address
1712 N WOODMERE DR APT 17, CHARLESTON, SC 29407-2809
(803) 467-9520
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
5016221
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
5016221
NC
Other
Enumeration date
06/03/2022
Last updated
11/09/2022
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