Organization · Type 2 NPI

Self Regional Healthcare

Family Medicine Physician · Greenwood, SC

NPI number 1386443752 Active

Practice location

1132 Spring St
Greenwood, SC 29646-3859

Fax (864) 725-1683

Mailing address

104 Wells Ave
Greenwood, SC 29646-3837

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Diabetology (Family Medicine) Physician 207QD0401XNone listed
Endocrinology, Diabetes & Metabolism Physician 207RE0101XNone 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.

4 other providers at this address

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About NPI 1386443752

Self Regional Healthcare's National Provider Identifier is 1386443752, issued on Mar 10, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Greenwood, SC. The record was last updated on Jul 10, 2026.