# SELF MEDICAL GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Pulmonology Associates, A Division of Self Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417348459
- **Authorized official:** DR. MATTHEW T LOGAN MD (PRESIDENT AND CEO)
- **Authorized official phone:** (864) 725-4253

## Contact information

- **Practice address:** 105 VINECREST CT \# 1000, GREENWOOD, SC 29646-8031
- **Practice address phone:** (864) 725-7491
- **Mailing address:** 105 VINECREST CT \# 1000, GREENWOOD, SC 29646-8031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2015
- **Last updated:** 12/14/2021