Organization
SELF REGIONAL HEALTHCARE
Active
Other names
SRH Diabetes Education
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
1226 SPRING ST, GREENWOOD, SC 29646-3835
(864) 725-4853
(864) 725-4125
Mailing address
1226 SPRING ST, GREENWOOD, SC 29646-3835
(864) 725-4853
(864) 725-4125
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WD0400X
Diabetes Educator Registered Nurse
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
12/14/2021
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