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SELF MEDICAL GROUP NPI 1376041798


NPI Information

NPI: 1376041798
Provider Name: SELF MEDICAL GROUP

Other Name: PROFESSIONAL SERVICES OF SELF MEDICAL GROUP

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1325 SPRING ST
GREENWOOD, SC
ZIP 29646
Phone: (864) 725-4111
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SELF MEDICAL GROUP is a cardiovascular disease internal medicine in Greenwood, SC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SELF MEDICAL GROUP NPI is 1376041798. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Professional Services Of Self Medical Group.

The provider's business location address is:

1325 SPRING ST
GREENWOOD, SC
ZIP 29646-860
Phone: (864) 725-4111
Fax: (864) 725-7498

The provider's authorized official is Matthew T Logan .
The authorized official title is President And Ceo and has the following contact phone number (864) 725-4253.

The enumeration date for this NPI number is 1/31/2018 and was last updated on 12/14/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseYes
2207RP1001XInternal MedicinePulmonary DiseaseNo
3207RS0012XInternal MedicineSleep MedicineNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.