LOGAN CARLYLE

COLUMBIA, SC
NPI1932804374
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies207R00000X Internal Medicine
(Licence: SC  LL89733)
Enumeration Date2023-04-04
Last Update Date2023-07-11
Business Address
LOGAN CARLYLE
2 MEDICAL PARK RD
COLUMBIA, SC 29203-6808
Phone number: 803-434-6956
Mailing Address
LOGAN CARLYLE
2 MEDICAL PARK RD
COLUMBIA, SC 29203-6808
Phone number: