Organization
SELF REGIONAL HEALTHCARE
Active
Other names
Family Healthcare Ware Shoals
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TOLBERT LOGAN MD (PRESIDENT & CEO)
(864) 725-4780
Entity
Organization
Contact information
Practice address
167 S GREENWOOD AVE, WARE SHOALS, SC 29692-1636
(864) 456-3447
(864) 725-4979
Mailing address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4673
(864) 725-7424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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