MRS. Denise Logan, MS RD LD
NPI #1427464247 in Loris, South Carolina
Provider Information
- NPI Number
- 1427464247
- Entity Type
- Individual
- Name
- MRS. Denise Logan, MS RD LD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- MS RD LD
- Enumeration Date
- Jul 2, 2014
- Last Updated
- Jul 2, 2014
Practice Location
- Address
- 3811 WALNUT ST
- City
- Loris
- State
- South Carolina
- ZIP Code
- 29569
- Phone
- (843) 756-4027
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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