person
Logan Shayne Mccord, DMD
Student in an Organized Health Care Education/Training Program in Grand Ridge, Florida
NPI 1467216960

Logan Shayne Mccord is a Student in an Organized Health Care Education/Training Program based in Grand Ridge, FL. Logan Shayne Mccord practices in Grand Ridge, FL and has the professional credentials of DMD. The NPI Number for Logan Shayne Mccord is 1467216960 and holds a License No. (Florida).

The current practice location address for Logan Shayne Mccord is 7998 Shady Grove Rd, Grand Ridge, FL and can be reached out via phone at 850-544-1993.

Location: 7998 Shady Grove Rd, Grand Ridge, FL, 32442-3814
person
Provider Profile Details
NPI Number
1467216960
Provider Name
Logan Shayne Mccord
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
7998 Shady Grove Rd, Grand Ridge, FL, 32442-3814
Phone Number
850-544-1993
Fax Number
Provider Enumeration Date
02/06/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7998 Shady Grove Rd
City
State
Zip
32442-3814
Phone Number
850-544-1993
Fax Number
person
Provider Business Mailing Address Details
Address
7998 Shady Grove Rd
City
State
Zip
32442-3814
Phone Number
850-544-1993
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
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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