Organization
SELF REGIONAL HEALTHCARE
Active
Other names
Self Medical Center Newberry
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TOLBERT LOGAN (PRESIDENT & CEO)
(864) 725-4780
Entity
Organization
Contact information
Practice address
2605 KINARD ST STE 200A, NEWBERRY, SC 29108-2965
(803) 405-1900
(803) 405-1919
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
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
03/06/2025
Last updated
07/17/2025
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