| Self Medical Group | |
|
207 Holiday Rd Mc Cormick SC 29835-3430 | |
| (864) 391-5011 | |
| (864) 391-5012 |
| Full Name | Self Medical Group |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 207 Holiday Rd, Mc Cormick, 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 207 Holiday Rd Mc Cormick SC 29835-3430 Ph: (864) 391-5011 | Self Medical Group 207 Holiday Rd Mc Cormick SC 29835-3430 Ph: (864) 391-5011 |
| NPI Number | 1992370654 |
|---|---|
| Provider Enumeration Date | 05/25/2021 |
| Last Update Date | 12/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992370654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Carolina Health Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1319 S Main St, Mc Cormick, SC 29835 Phone: 864-852-3336 Fax: 864-852-3339 | |
Self Regional Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Holiday Rd, Mc Cormick, SC 29835 Phone: 864-391-5011 | |
Carolina Health Centers, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6977 Sc Highway 28 S, Mc Cormick, SC 29835 Phone: 864-852-3336 Fax: 864-852-3338 |