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

Self Medical Group

Organization Nephrology Physician · NPI 1205475688

Self Medical Group provides Nephrology Physician services in Greenwood, South Carolina. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1123 Spring St
Greenwood, SC 29646-3833
Phone: (864) 450-9036
Fax: (864) 450-9038
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1205475688
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Logan — President And Ceo · (864) 725-4253
Other names Nephrology Services Of Self Medical Group; Nephrology Services Of Self Medical Group
NPI enumeratedJanuary 2, 2020
Last updated in NPPESDecember 14, 2021
Certification dateDecember 14, 2021
Mailing address1123 Spring St, Greenwood, SC 29646-3833

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