Self Medical Group

NPI #1871809855 in Greenwood, South Carolina

Provider Information

NPI Number: 1871809855
Entity Type: Organization
Organization Name: Self Medical Group
Primary Specialty: Urology
Enumeration Date: Aug 27, 2010
Last Updated: Dec 14, 2021

Practice Location

Address: 109 LINER DR
City: Greenwood
State: South Carolina
ZIP Code: 29646-2311
Phone: (864) 227-6401

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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Organizations

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Greenwood Urological P.a.	Urology	Greenwood	AI Deep Dive

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