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Organization
SELF REGIONAL HEALTHCARE
Active
Organization
SELF REGIONAL HEALTHCARE
Active
Other names
Pain Management Laurens
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TOLBERT LOGAN (PRESIDENT & CEO)
(864) 725-4780
Entity
Organization
Contact information
Practice address
23013 HIGHWAY 76 E STE C, CLINTON, SC 29325-7530
(864) 725-4095
Mailing address
1325 SPRING ST, GREENWOOD, SC 29646-3875
(864) 725-4673
(864) 725-7424
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
NULL
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
02/03/2026
Last updated
09/18/2026
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