Organization · Type 2 NPI

Self Regional Healthcare Partners

Family Medicine Physician · Edgefield, SC

NPI number 1053929208 Active

Practice location

155 Ridge Medical Plaza Rd
Edgefield, SC 29824-4531

Call (803) 637-3146 Map

Fax (803) 637-6597

Mailing address

1325 Spring St
Greenwood, SC 29646-3860

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Sports Medicine (Family Medicine) Physician 207QS0010XNone listed
Cardiovascular Disease Physician 207RC0000XNone listed
Gastroenterology Physician 207RG0100XNone listed
Orthopaedic Surgery Physician 207X00000XNone listed
Otolaryngology Physician 207Y00000XNone listed
Surgery Physician 208600000XNone listed
Vascular Surgery Physician 2086S0129XNone listed
Urology Physician 208800000XNone listed
Foot & Ankle Surgery Podiatrist 213ES0103XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6 other providers at this address

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About NPI 1053929208

Self Regional Healthcare Partners's National Provider Identifier is 1053929208, issued on Jul 14, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Edgefield, SC. The record was last updated on May 27, 2026.