Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Self Medical Group

Organization Plastic and Reconstructive Surgery Physician · NPI 1033832530

Self Medical Group provides Plastic and Reconstructive Surgery Physician services in Greenwood, South Carolina. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

305 W Alexander Ave # A
Greenwood, SC 29646-4009
Phone: (864) 223-0505
Fax: (864) 223-7075
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1033832530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Logan — President And Ceo · (864) 725-4253
Other names Lakelands Plastic Surgery
NPI enumeratedSeptember 21, 2022
Last updated in NPPESNovember 7, 2022
Certification dateNovember 7, 2022
Mailing address305 W Alexander Ave # A, Greenwood, SC 29646-4009

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