Organization
SELF REGIONAL HEALTHCARE
Active
Other names
Advanced Spine and Neurosurgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TOLBERT LOGAN (PRESIDENT & CEO)
(864) 725-4780
Entity
Organization
Contact information
Practice address
115 ACADEMY AVE, GREENWOOD, SC 29646-3869
(864) 725-7272
(864) 725-5799
Mailing address
104 WELLS AVE, GREENWOOD, SC 29646-3837
(864) 725-4673
(864) 725-7424
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084A2900X
Neurocritical Care Physician
—
—
2084N0400X
Neurology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/17/2025
Last updated
05/15/2026
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