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Organization

SELF MEDICAL GROUP

Active
Other names
Transitional Care Clinic A Division of Self Medical Group
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
410 EPTING AVE, GREENWOOD, SC 29646-4040
(864) 725-7880
(864) 725-7875
Mailing address
410 EPTING AVE, GREENWOOD, SC 29646-4040
(864) 725-7880
(864) 725-7875

Taxonomy

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

Other

Enumeration date
07/28/2015
Last updated
12/14/2021
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