SELF MEDICAL GROUP NPI 1588969448

NPI Information

  • NPI: 1588969448
  • Provider Name: SELF MEDICAL GROUP
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Other Name: INTERNAL MEDICINE OF THE PIEDMONT, A DIVISION OF SELF MEDICAL GROUP
  • Address: 104 LINER DRIVE
    GREENWOOD, SC
    ZIP 29646
  • Phone: (864) 227-1115

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NPI Details

SELF MEDICAL GROUP is an internal medicine in Greenwood, SC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SELF MEDICAL GROUP NPI is 1588969448. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Internal Medicine Of The Piedmont, A Division Of Self Medical Group.

The provider's business location address is:

104 LINER DRIVE
GREENWOOD, SC
ZIP 29646
Phone: (864) 227-1115
Fax: (864) 227-2046

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

The enumeration date for this NPI number is 1/24/2011 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
1207R00000XInternal MedicineYes
2363L00000XNurse PractitionerNo

What is NPI?

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

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