Self Medical Group
Self Medical Group provides Nurse Practitioner services in Greenwood, South Carolina. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
410 Epting AveGreenwood, SC 29646-4040
Phone: (864) 725-5326
Fax: (864) 725-5327
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Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X |
|---|
Record details
| NPI number | 1104572411 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Matthew Logan — President And Ceo · (864) 725-4253 |
| Other names | Virtual Services; Virtual Services |
| NPI enumerated | February 24, 2022 |
| Last updated in NPPES | October 18, 2022 |
| Certification date | October 18, 2022 |
| Mailing address | 410 Epting Ave, Greenwood, SC 29646-4040 |
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Mrs. Amy Christine Hull, FNP-C
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Zane R Newton, APRN
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Mr. John Cenarosa Paguntalan, NP
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Self Medical Group
410 Epting Ave, Greenwood, SC 29646-4040 · (864) 725-6042
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Caroline Duffy Souter, NP
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Derek Stennett
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