Organization
SELF REGIONAL HEALTHCARE PARTNERS
Active
Other names
Edgefield County Healthcare, An Affiliate of Self Regional Healthcare
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
300 RIDGE MEDICAL PLAZA RD, EDGEFIELD, SC 29824-4525
(803) 637-3174
(803) 637-0200
Mailing address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4111
(864) 725-7424
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
12/14/2021
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