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1780055095
TERRY PARKER LOGAN
CHARLOTTE, NC
NPI
1780055095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5008147)
Enumeration Date
2015-10-13
Last Update Date
2024-01-05
Business Address
TERRY PARKER LOGAN NP
200 HAWTHORNE LN
CHARLOTTE, NC 28204-2515
Phone number: 704-384-6478
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Mailing Address
TERRY PARKER LOGAN NP
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 704-384-6478
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