# SELF REGIONAL HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SELF REGIONAL HEALTHCARE
- **Other names:** Academy Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619240777
- **Legal business name:** SELF REGIONAL HEALTHCARE
- **Authorized official:** JAMES PFEIFFER (PRESIDENT AND CEO)
- **Authorized official phone:** (864) 725-4253

## Contact information

- **Practice address:** 155 ACADEMY AVE, GREENWOOD, SC 29646-3869
- **Practice address phone:** (864) 725-4865
- **Mailing address:** 155 ACADEMY AVE, GREENWOOD, SC 29646-3869
- **Mailing address phone:** (864) 725-4865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/20/2012
- **Last updated:** 03/14/2014