Self Regional Healthcare
NPI #1053103572 in Greenwood, South Carolina
Provider Information
- NPI Number
- 1053103572
- Entity Type
- Organization
- Organization Name
- Self Regional Healthcare
- Primary Specialty
- Internal Medicine
- Enumeration Date
- May 20, 2025
- Last Updated
- May 20, 2025
Practice Location
- Address
- 115 OVERLAND DR
- City
- Greenwood
- State
- South Carolina
- ZIP Code
- 29646-4053
- Phone
- (864) 227-6641
Authorized Official
- Name
- MATTHEW TOLBERT LOGAN, MD
- Title
- PRESIDENT & CEO
- Phone
- (864) 725-4780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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