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Organization
SELF REGIONAL HEALTHCARE
Active
Organization
SELF REGIONAL HEALTHCARE
Active
Other names
Full Circle Care
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TOLBERT LOGAN (PRESIDENT & CEO)
(864) 725-4780
Entity
Organization
Contact information
Practice address
1132 SPRING ST, GREENWOOD, SC 29646-3859
(864) 725-1680
(864) 725-1683
Mailing address
104 WELLS AVE, GREENWOOD, SC 29646-3837
(864) 725-4673
(864) 725-7424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QD0401X
Diabetology (Family Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Enumeration date
03/10/2025
Last updated
07/10/2026
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