Individual
LOGAN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
737 TAMAR TRL, WIGGINS, MS 39577-7901
(850) 910-2051
Mailing address
737 TAMAR TRL, WIGGINS, MS 39577-7901
(850) 910-2051
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0711
MS
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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