NPI 1932657301

Self Medical Group

Organisation Pain Medicine (Anesthesiology) Physician Greenwood, SC

Practice location

Address: 1325 Spring St, Greenwood, SC 29646-3860
Phone: (864) 725-4095
Fax: (864) 725-5082

Authorised official

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

Registered specialties

Pain Medicine (Anesthesiology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X

Other Anesthesiology providers in South Carolina →

Registry record

NPI: 1932657301
Entity type: Organization
NPI issued: 14 Sep 2016
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.