LOGAN NICOLE LOCKWOOD

GREENSBORO, NC
NPI1386352185
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  001015111)
Enumeration Date2022-11-10
Last Update Date2025-04-08
Business Address
LOGAN NICOLE LOCKWOOD
1126 N CHURCH ST STE 300
GREENSBORO, NC 27401-1037
Phone number: 336-938-0800
Mailing Address
LOGAN NICOLE LOCKWOOD
300 E WENDOVER AVE
GREENSBORO, NC 27401-1229
Phone number: 336-663-5220