Organization · Type 2 NPI

Self Medical Group

Nurse Practitioner · Greenwood, SC

NPI number 1104572411 Active

Practice location

410 Epting Ave
Greenwood, SC 29646-4040

Fax (864) 725-5327

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

10 other providers at this address

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About NPI 1104572411

Self Medical Group's National Provider Identifier is 1104572411, issued on Feb 24, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Greenwood, SC. The record was last updated on Oct 18, 2022.