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Organization

SELF MEDICAL GROUP

Active
Other names
Greenwood Pain Management, A Division of Self Medical Group
Organization subpart
No

Provider details

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

Contact information

Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4095
(864) 725-5082
Mailing address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4095
(864) 725-5082

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary

Other

Enumeration date
09/14/2016
Last updated
12/14/2021
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