| Self Regional Healthcare | |
|
2605 Kinard St Ste 200a Newberry SC 29108-2965 | |
| (803) 405-1900 | |
| (803) 405-1919 |
| Full Name | Self Regional Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 2605 Kinard St Ste 200a, Newberry, South Carolina |
| Authorized Official Name and Position | Matthew Tolbert Logan (PRESIDENT & CEO) |
| Authorized Official Contact | 8647254780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Self Regional Healthcare 104 Wells Ave Greenwood SC 29646-3837 Ph: (864) 725-4673 | Self Regional Healthcare 2605 Kinard St Ste 200a Newberry SC 29108-2965 Ph: (803) 405-1900 |
| NPI Number | 1548068398 |
|---|---|
| Provider Enumeration Date | 03/06/2025 |
| Last Update Date | 07/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548068398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Secondary |
| 208800000X | Urology | (* (Not Available)) | Secondary |
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