Self Medical Group
NPI #1205475688 in Greenwood, South Carolina
Provider Information
- NPI Number
- 1205475688
- Entity Type
- Organization
- Organization Name
- Self Medical Group
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Jan 2, 2020
- Last Updated
- Dec 14, 2021
Practice Location
- Address
- 1123 SPRING ST
- City
- Greenwood
- State
- South Carolina
- ZIP Code
- 29646-3833
- Phone
- (864) 450-9036
Authorized Official
- Name
- DR. MATTHEW T LOGAN
- Title
- PRESIDENT AND CEO
- Phone
- (864) 725-4253
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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