Self Regional Physician Services

NPI #1619990884 in Laurens, South Carolina

Provider Information

NPI Number
1619990884
Entity Type
Organization
Organization Name
Self Regional Physician Services
Subpart
Yes (part of a larger organization)
Parent Organization
SELF REGIONAL PHYSICIAN SERVICES
Primary Specialty
Family Medicine
Enumeration Date
Jul 26, 2006
Last Updated
Mar 13, 2014

Practice Location

Address
22580 HIGHWAY 76 E
Address 2
SUITE 100
ZIP Code
29360-8439
Phone
(864) 833-5986

Authorized Official

Name
JAMES PFEIFFER
Title
PRESIDENT AND CEO
Phone
(864) 725-4253

Specialties & Taxonomy Codes

Specialty
Family Medicine

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