Organization
SELF MEDICAL GROUP
Active
Other names
Family Healthcare West Greenwood, A Division of Self Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW T LOGAN (PRESIDENT AND CEO)
(864) 725-4253
Entity
Organization
Contact information
Practice address
1228 HIGHWAY 72 W, GREENWOOD, SC 29649-1816
(864) 943-0549
Mailing address
1228 HIGHWAY 72 W, GREENWOOD, SC 29649-1816
(864) 943-0549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/22/2015
Last updated
12/14/2021
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