Individual provider · Type 1 NPI

Logan Moore

Student in an Organized Health Care Education/Training Program · Columbia, SC

NPI number 1679244271 Active

Practice location

1300 Wheat St
Columbia, SC 29208-0001

Call (810) 210-7041 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1679244271

Logan Moore's National Provider Identifier is 1679244271, issued on Sep 23, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbia, SC. The record was last updated on Sep 23, 2021.