SELF MEDICAL GROUP NPI 1871816538

NPI Information

  • NPI: 1871816538
  • Provider Name: SELF MEDICAL GROUP
  • Classification: Pediatrics - 2080N0001X
  • Specialization: Neonatal-Perinatal Medicine
  • Entity Type: Organization
  • Other Name: NEONATOLOGY SPECIALISTS OF SELF MEDICAL GROUP
  • Address: 1325 SPRING STREET
    GREENWOOD, SC
    ZIP 29646
  • Phone: (864) 725-4449

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NPI Details

SELF MEDICAL GROUP is a neonatal-perinatal medicine pediatrics in Greenwood, SC. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. SELF MEDICAL GROUP NPI is 1871816538. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Neonatology Specialists Of Self Medical Group.

The provider's business location address is:

1325 SPRING STREET
GREENWOOD, SC
ZIP 29646-860
Phone: (864) 725-4449
Fax: (864) 725-4452

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 3/10/2010 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
12080N0001XPediatricsNeonatal-Perinatal MedicineYes

What is NPI?

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

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