<Unavail>

LBN: Self Medical Group
<Unavail> is an health care organization with primary practice located at 210 Wells Ave , Greenwood SC 29646-3843. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Self Medical Group can be contacted via phone (864) 943-4279, or through Logan, Matthew T via phone (864) 725-4253.

Contact Information

Primary practice address
210 Wells Ave Greenwood SC 29646-3843
Phone: (864) 943-4279
Fax: (864) 223-2642
Website:
Map and Directions
Authorized official contact:
Name: Logan, Matthew T Doctor of Medicine (MD)
Phone: (864) 725-4253

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X

Profile Details

NPI number 1720475221
LBN Legal business name Self Medical Group
DBA Doing business as <Unavail>
Authorized official Logan, Matthew T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2015
Last updated Dec 14th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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