SELF MEDICAL GROUP NPI 1487212130

NPI Information

  • NPI: 1487212130
  • Provider Name: SELF MEDICAL GROUP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Other Name: READY FOR SURGERY CLINIC OF SELF MEDICAL GROUP
  • Address: 105 VINECREST CT # 510
    GREENWOOD, SC
    ZIP 29646
  • Phone: (864) 725-4016

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NPI Details

SELF MEDICAL GROUP is a family medicine in Greenwood, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SELF MEDICAL GROUP NPI is 1487212130. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Ready For Surgery Clinic Of Self Medical Group.

The provider's business location address is:

105 VINECREST CT # 510
GREENWOOD, SC
ZIP 29646-031
Phone: (864) 725-4016
Fax: (864) 725-5839

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 5/29/2019 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
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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