Organization
SELF REGIONAL HEALTHCARE
Active
Other names
Advanced Cardiology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TOLBERT LOGAN (PRESIDENT & CEO)
(864) 725-4780
Entity
Organization
Contact information
Practice address
421 EPTING AVE, GREENWOOD, SC 29646-4041
(864) 227-6818
(864) 227-0850
Mailing address
104 WELLS AVE, GREENWOOD, SC 29646-3837
(864) 725-4673
(864) 725-7424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
Other
Enumeration date
03/10/2025
Last updated
02/11/2026
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