LOGAN ELLIOTT

KINGSPORT, TN
NPI1730711029
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TN  27109)
Enumeration Date2020-02-05
Last Update Date2020-02-05
Business Address
LOGAN ELLIOTT NP-C
1330 RIVERBEND DR APT 104
KINGSPORT, TN 37664-4096
Phone number: 276-690-6674
Mailing Address
LOGAN ELLIOTT NP-C
1330 RIVERBEND DR APT 104
KINGSPORT, TN 37664-4096
Phone number:
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