Self Medical Group
NPI #1467214049 in Laurens, South Carolina
Provider Information
- NPI Number
- 1467214049
- Entity Type
- Organization
- Organization Name
- Self Medical Group
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 29, 2024
- Last Updated
- Jan 29, 2024
Practice Location
- Address
- 22580 HIGHWAY 76 E STE 200
- City
- Laurens
- State
- South Carolina
- ZIP Code
- 29360-8460
- Phone
- (864) 833-0055
Authorized Official
- Name
- MATTHEW TOLBERT LOGAN, MD
- Title
- CEO
- Phone
- (864) 725-4780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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