Self Regional Healthcare

NPI #1720938103 in Clinton, South Carolina

Provider Information

NPI Number
1720938103
Entity Type
Organization
Organization Name
Self Regional Healthcare
Primary Specialty
Anesthesiology - Pain Medicine
Enumeration Date
Feb 3, 2026
Last Updated
Feb 3, 2026

Practice Location

Address
23013 HIGHWAY 76 E STE C
ZIP Code
29325-7530
Phone
(864) 725-4095

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation
Anesthesiology - Pain MedicinePain Medicine

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