Organization · Type 2 NPI

Self Medical Group

Pediatrics Physician · Greenwood, SC

NPI number 1720475221 Active

Practice location

210 Wells Ave
Greenwood, SC 29646-3843

Fax (864) 223-2642

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Pediatrics Physician Primary	208000000X	None listed
Family Nurse Practitioner	363LF0000X	None listed
Pediatric Nurse Practitioner	363LP0200X	None listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

8 other providers at this address

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NPI record

NPI: 1720475221
Entity type: Organization (Type 2)
Issued: Apr 22, 2015
Last updated: Dec 14, 2021
Status: Active

Other names

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Pediatric Associates Greenwood, A Division of Self Medical Group · other name
Pediatric Associates Greenwood, A Division of Self Medical Group · other name

Authorized official

Dr. Matthew T Logan, MD
President and CEO
(864) 725-4253

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1720475221

Self Medical Group's National Provider Identifier is 1720475221, issued on Apr 22, 2015. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Greenwood, SC. The record was last updated on Dec 14, 2021.