Organization
SELF MEDICAL GROUP
Active
Other names
Western Carolina Psychiatric Associates a division of Self Medical Gro
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW T LOGAN MD (PRESIDENT AND CHIEF EXECUTIVE OFFIC)
(864) 725-4253
Entity
Organization
Contact information
Practice address
1033 EDGEFIELD ST, GREENWOOD, SC 29646-3205
(864) 227-3908
(864) 227-2668
Mailing address
1033 EDGEFIELD ST, GREENWOOD, SC 29646-3205
(864) 227-3908
(864) 227-2668
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/13/2010
Last updated
12/14/2021
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