| Self Medical Group | |
|
103 Little Mountain Rd Ninety Six SC 29666-9252 | |
| (864) 543-3515 | |
| Not Available |
| Full Name | Self Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 103 Little Mountain Rd, Ninety Six, South Carolina |
| Authorized Official Name and Position | Matthew T Logan (PRESIDENT AND CEO) |
| Authorized Official Contact | 8647254253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Self Medical Group 103 Little Mountain Rd Ninety Six SC 29666-9252 Ph: (864) 543-3515 | Self Medical Group 103 Little Mountain Rd Ninety Six SC 29666-9252 Ph: (864) 543-3515 |
| NPI Number | 1609262807 |
|---|---|
| Provider Enumeration Date | 04/14/2015 |
| Last Update Date | 12/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609262807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Self Regional Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Little Mountain Rd, Ninety Six, SC 29666 Phone: 864-543-3515 | |
Self Regional Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Little Mountain Rd, Ninety Six, SC 29666 Phone: 864-543-3515 |