Self Regional Healthcare
NPI #1134927767 in Ninety Six, South Carolina
Provider Information
- NPI Number
- 1134927767
- Entity Type
- Organization
- Organization Name
- Self Regional Healthcare
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Mar 7, 2025
- Last Updated
- Mar 7, 2025
Practice Location
- Address
- 103 LITTLE MOUNTAIN RD
- City
- Ninety Six
- State
- South Carolina
- ZIP Code
- 29666-9252
- Phone
- (864) 543-3515
Authorized Official
- Name
- MATTHEW TOLBERT LOGAN
- Title
- PRESIDENT & CEO
- Phone
- (864) 725-4780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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