# ABBEVILLE COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ABBEVILLE COUNTY MEMORIAL HOSPITAL
- **Other names:** Due West Family Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689048464
- **Legal business name:** ABBEVILLE COUNTY MEMORIAL HOSPITAL
- **Authorized official:** MATTHEW TOLBERT LOGAN (PRESIDENT & CEO)
- **Authorized official phone:** (864) 725-4780

## Contact information

- **Practice address:** 6 COLLEGE ST, DUE WEST, SC 29639-9554
- **Practice address phone:** (864) 379-2345
- **Practice address fax:** (864) 379-3228
- **Mailing address:** PO BOX 75833, CHICAGO, IL 60675-5833
- **Mailing address phone:** (864) 366-5011
- **Mailing address fax:** (864) 366-3317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 207QD0401X | Diabetology (Family Medicine) Physician | — | NULL | — |
| 207QD0401X | Diabetology (Family Medicine) Physician | — | — | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 11/17/2015
- **Last updated:** 07/10/2026