Organization
SELF MEDICAL GROUP
Active
Other names
Family Healthcare Savannah Lakes, A Division of Self Medical Group
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
207 HOLIDAY RD, MC CORMICK, SC 29835-3430
(864) 391-5011
(864) 391-5012
Mailing address
207 HOLIDAY RD, MC CORMICK, SC 29835-3430
(864) 391-5011
(864) 391-5012
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
12/14/2021
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