Organization
SELF REGIONAL HEALTHCARE
Active
Other names
Lakelands Neurology, Self Regional Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TOLBERT LOGAN (PRESIDENT & CEO)
(864) 725-4780
Entity
Organization
Contact information
Practice address
102 KATIE CT, GREENWOOD, SC 29646-4068
(864) 725-7800
Mailing address
104 WELLS AVE, GREENWOOD, SC 29646-3837
(864) 725-4673
(864) 725-7424
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
02/19/2026
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