| Self Regional Healthcare Partners | |
|
801 Mobley St Johnston SC 29832-1366 | |
| (803) 275-4653 | |
| Not Available |
| Full Name | Self Regional Healthcare Partners |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 801 Mobley St, Johnston, 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 Partners 1325 Spring St Greenwood SC 29646-3860 Ph: (864) 725-4111 | Self Regional Healthcare Partners 801 Mobley St Johnston SC 29832-1366 Ph: (803) 275-4653 |
| NPI Number | 1205723194 |
|---|---|
| Provider Enumeration Date | 06/23/2025 |
| Last Update Date | 06/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205723194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
W. Hugh Morgan Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 801 Mobley St, Johnston, SC 29832 Phone: 803-275-4653 Fax: 803-275-1951 | |
Self Regional Healthcare Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Mobley St, Johnston, SC 29832 Phone: 803-275-4653 |