NPI 1508133109 · live from the CMS NPI Registry
Logan S Baker, R.D.
Dietitian, Registered in Rock Hill, SC. National Provider Identifier 1508133109, active.
NPI record
| NPI | 1508133109 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 222 S Herlong Ave, Rock Hill, SC 29732 |
| Practice phone | 803-329-6886 |
| Enumerated | November 26, 2011 |
| Last updated | November 27, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.