Logan E Bargeron

NPI #1073387114 in Columbia, South Carolina

Provider Information

NPI Number: 1073387114
Entity Type: Individual
Name: Logan E Bargeron
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Nov 9, 2023
Last Updated: Nov 9, 2023

Practice Location

Address: 1300 WHEAT ST
City: Columbia
State: South Carolina
ZIP Code: 29201
Phone: (706) 551-4772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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