Self Regional Healthcare

NPI #1073312476 in Hodges, South Carolina

Provider Information

NPI Number: 1073312476
Entity Type: Organization
Organization Name: Self Regional Healthcare
Primary Specialty: Family Medicine
Enumeration Date: Mar 10, 2025
Last Updated: Mar 10, 2025

Practice Location

Address: 3410 COKESBURY RD
City: Hodges
State: South Carolina
ZIP Code: 29653-9181
Phone: (864) 227-2099

Authorized Official

Name: MATTHEW TOLBERT LOGAN
Title: PRESIDENT & CEO
Phone: (864) 725-4780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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