Organization
SELF MEDICAL GROUP
Active
Other names
Family Healthcare Ware Shoals a division of Self Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW T LOGAN MD (PRESIDENT AND CHIEF EXECUTIVE OFFIC)
(864) 725-4253
Entity
Organization
Contact information
Practice address
167 GREENWOOD AVE S, WARE SHOALS, SC 29692
(864) 456-3447
(864) 725-4979
Mailing address
167 GREENWOOD AVE S, WARE SHOALS, SC 29692
(864) 456-3447
(864) 725-4979
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/12/2010
Last updated
12/14/2021
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