Individual
LOGAN WOLFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-2719
(843) 792-1414
Mailing address
2045 SHADOW FERRY DR # SF2045, CHARLESTON, SC 29414-6649
(505) 331-8517
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/01/2020
Last updated
05/02/2023
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