Logan Moore is a student in an organized health care education training program in Columbia, SC. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Logan Moore NPI is 1679244271. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1300 WHEAT ST
COLUMBIA, SC
ZIP 29208-001
Phone: (810) 210-7041
The enumeration date for this NPI number is 9/23/2021 and was last updated on 9/23/2021.