Organization · Type 2 NPI

Self Medical Group

Family Medicine Physician · Greenwood, SC

NPI number 1750800264 Active

Practice location

110 Highway 246 N
Greenwood, SC 29649-8748

Call (864) 725-1750 Map

Fax (864) 725-1762

Other practice locations

110 Highway 246 N, Greenwood, SC 29649-8748 · (864) 725-1750
110 Highway 246 N, Greenwood, SC 29649-8748 · (864) 725-7491

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None 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.

5 other providers at this address

Other family medicine physician providers in Greenwood

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NPI record

NPI: 1750800264
Entity type: Organization (Type 2)
Issued: Sep 15, 2017
Last updated: Jul 21, 2022
Status: Active

Other names

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Family Healthcare Coronaca, A Division of Self Medical Group · other name
Family Healthcare Coronaca, A Division of Self Medical Group · other name

Authorized official

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

Verify this record

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 1750800264

Self Medical Group's National Provider Identifier is 1750800264, issued on Sep 15, 2017. 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 21, 2022.