Self Medical Group
Family Medicine in Greenwood, SC. Organization (NPI-2).
NPI number1013663327
StatusActive
Last updated in NPPESFeb 6, 2026
Details
- NPI
- 1013663327
- Entity type
- Organization (NPI-2)
- Legal business name
- Self Medical Group
- Organization subpart
- No
- Enumeration date
- Feb 24, 2022
- Certification date
- Feb 6, 2026
- Last updated
- Feb 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Accountable Care (Other Name)
Practice location
102 Katie CtGreenwood, SC 29646-4068
Phone 864-725-7770 · Fax 864-725-7774
Mailing address
102 Katie CtGreenwood, SC 29646-4068
Phone 864-725-7770 · Fax 864-725-7774
Authorized official
Matthew T Logan
President And Ceo
8647254253
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