Self Medical Group

NPI #1811383003 in Hodges, South Carolina

Provider Information

NPI Number: 1811383003
Entity Type: Organization
Organization Name: Self Medical Group
Primary Specialty: Family Medicine
Enumeration Date: Apr 14, 2015
Last Updated: Dec 14, 2021

Practice Location

Address: 3410 COKESBURY RD
City: Hodges
State: South Carolina
ZIP Code: 29653-9181
Phone: (864) 227-2900

Authorized Official

Name: DR. MATTHEW T LOGAN, MD
Title: PRESIDENT AND CEO
Phone: (864) 725-4253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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