Organization
SELF REGIONAL HEALTHCARE PARTNERS
Active
Other names
Self Medical Center Johnston
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TOLBERT LOGAN MD (PRESIDENT & CEO)
(864) 725-4780
Entity
Organization
Contact information
Practice address
801 MOBLEY ST, JOHNSTON, SC 29832-1366
(803) 275-4653
Mailing address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4111
(864) 725-7424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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