Organization
SELF MEDICAL GROUP
Active
Other names
Advanced Podiatry Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW T LOGAN MD (PRESIDENT AND CEO)
(864) 725-4253
Entity
Organization
Contact information
Practice address
102 KATIE CT, GREENWOOD, SC 29646-4068
(864) 725-4111
Mailing address
102 KATIE CT, GREENWOOD, SC 29646-4068
(864) 725-4111
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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