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Maquetia Logue
Family Nurse Practitioner in Conway, South Carolina
NPI 1528512829

Maquetia Logue is a Family Nurse Practitioner based in Conway, SC and is specialized in Family. Maquetia Logue practices in Conway, SC. The NPI Number for Maquetia Logue is 1528512829 and holds a License No. 20365 (South Carolina).

The current practice location address for Maquetia Logue is 600 Singleton Ridge Rd, Conway, SC and can be reached out via phone at 843-347-9099.

Location: 600 Singleton Ridge Rd, Conway, SC, 29526-9154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528512829
Provider Name
Maquetia Logue
Credential
Provider Entity Type
Individual
Gender
Female
Address
600 Singleton Ridge Rd, Conway, SC, 29526-9154
Phone Number
843-347-9099
Fax Number
Provider Enumeration Date
08/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
600 Singleton Ridge Rd
City
Conway
State
South Carolina
Zip
29526-9154
Phone Number
843-347-9099
Fax Number
person
Provider Business Mailing Address Details
Address
600 Singleton Ridge Rd
City
Conway
State
South Carolina
Zip
29526-9154
Phone Number
843-347-9099
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
20365 (South Carolina)
Definition
Definition to come...
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