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Organization

SELF MEDICAL GROUP

Active
Other names
Family Healthcare Clinton
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW T LOGAN MD (PRESIDENT AND CEO)
(864) 725-4253
Entity
Organization

Contact information

Practice address
22580 HIGHWAY 76 E, SUITE 100, LAURENS, SC 29360-8439
(864) 833-5986
(864) 833-0599
Mailing address
22580 HIGHWAY 76 E, SUITE 100, LAURENS, SC 29360-8439
(864) 833-5986
(864) 833-0599

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SC

Other

Enumeration date
10/25/2012
Last updated
12/14/2021
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