| Western Carolina Psychiatric Associates a Division of Self Medical Gro | |
|
1033 Edgefield St Greenwood SC 29646-3205 | |
| (864) 227-3908 | |
| (864) 227-2668 |
| Full Name | Western Carolina Psychiatric Associates a Division of Self Medical Gro |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1033 Edgefield St, Greenwood, South Carolina |
| Authorized Official Name and Position | Matthew T Logan (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
| Authorized Official Contact | 8647254253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Carolina Psychiatric Associates a Division of Self Medical Gro 1033 Edgefield St Greenwood SC 29646-3205 Ph: (864) 227-3908 | Western Carolina Psychiatric Associates a Division of Self Medical Gro 1033 Edgefield St Greenwood SC 29646-3205 Ph: (864) 227-3908 |
| NPI Number | 1205141371 |
|---|---|
| Provider Enumeration Date | 08/13/2010 |
| Last Update Date | 12/14/2021 |
| Certification Date | 12/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205141371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
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