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Organization

SELF MEDICAL GROUP

Active
Other names
Advanced Cardiology Associates, A Division of Self Medical Group
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
421 EPTING AVE, GREENWOOD, SC 29646-4041
(864) 227-6818
Mailing address
421 EPTING AVE, GREENWOOD, SC 29646-4041
(864) 227-6818

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
207RC0001X
Clinical Cardiac Electrophysiology Physician
207RI0011X
Interventional Cardiology Physician

Other

Enumeration date
10/06/2010
Last updated
12/14/2021
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