Organization
SELF MEDICAL GROUP
Active
Other names
Internal Medicine of Greenwood 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
115 OVERLAND DRIVE, GREENWOOD, SC 29646-4053
(864) 227-6641
(864) 227-3953
Mailing address
115 OVERLAND DRIVE, GREENWOOD, SC 29646-4053
(864) 227-6641
(864) 227-3953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/08/2011
Last updated
12/14/2021
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