Self Medical Group

NPI #1013579259 in Greenwood, South Carolina

Provider Information

NPI Number: 1013579259
Entity Type: Organization
Organization Name: Self Medical Group
Primary Specialty: Anesthesiology
Enumeration Date: Jul 8, 2019
Last Updated: Dec 14, 2021

Practice Location

Address: 1325 SPRING ST
City: Greenwood
State: South Carolina
ZIP Code: 29646-3860
Phone: (864) 725-4111

Authorized Official

Name: DR. MATTHEW T LOGAN, MD
Title: PRESIDENT AND CEO
Phone: (864) 725-4253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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