NPI 1013579259

Self Medical Group

Organisation Anesthesiology Physician Greenwood, SC

Practice location

Address: 1325 Spring St, Greenwood, SC 29646-3860
Phone: (864) 725-4111
Fax: (864) 725-7498

Authorised official

Name: Matthew T Logan
Title: President and Ceo
Phone: (864) 725-4253

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X

Other Anesthesiology providers in South Carolina →

Registry record

NPI: 1013579259
Entity type: Organization
NPI issued: 8 Jul 2019
Record last updated: 14 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.