Organization
SELF MEDICAL GROUP
Active
Other names
Family Healthcare Coronaca, 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
110 HIGHWAY 246 N, GREENWOOD, SC 29649-8748
(864) 725-1750
(864) 725-1762
Mailing address
110 HIGHWAY 246 N, GREENWOOD, SC 29649-8748
(864) 725-1750
(864) 725-1762
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/15/2017
Last updated
07/21/2022
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