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Organization

SELF REGIONAL HEALTHCARE

Active
Other names
Pain Management Greenwood
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW TOLBERT LOGAN (PRESIDENT & CEO)
(864) 725-4780
Entity
Organization

Contact information

Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3875
(864) 725-4095
(864) 725-5082
Mailing address
1325 SPRING ST, GREENWOOD, SC 29646-3875
(864) 725-4095
(864) 725-5082

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
208100000X
Physical Medicine & Rehabilitation Physician

Other

Enumeration date
02/03/2026
Last updated
02/03/2026
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