Organization · Type 2 NPI

Self Medical Group

Family Medicine Physician · Ware Shoals, SC

NPI number 1942528161 Active

Practice location

167 Greenwood Ave S
Ware Shoals, SC 29692

Fax (864) 725-4979

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.

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NPI record

NPI: 1942528161
Entity type: Organization (Type 2)
Issued: May 12, 2010
Last updated: Dec 14, 2021
Status: Active

Other names

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Family Healthcare Ware Shoals A Division of Self Medical Group · other name
Family Healthcare Ware Shoals A Division of Self Medical Group · other name

Authorized official

Dr. Matthew T Logan, MD
President and Chief Executive Offic
(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 1942528161

Self Medical Group's National Provider Identifier is 1942528161, issued on May 12, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Ware Shoals, SC. The record was last updated on Dec 14, 2021.