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Organization
SELF REGIONAL HEALTHCARE PARTNERS
Active
Organization
SELF REGIONAL HEALTHCARE PARTNERS
Active
Other names
Self Medical Center Johnston
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TOLBERT LOGAN MD (PRESIDENT & CEO)
(864) 725-4780
Entity
Organization
Contact information
Practice address
801 MOBLEY ST, JOHNSTON, SC 29832-1366
(803) 275-4653
Mailing address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4111
(864) 725-7424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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