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

Self Medical Group

Organization Surgery Physician · NPI 1457685570

Self Medical Group provides Surgery Physician services in Greenwood, South Carolina. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

160 Academy Ave
Greenwood, SC 29646-3808
Phone: (864) 223-8090
Fax: (864) 223-4026
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1457685570
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Logan — President And Chief Executive Offic · (864) 725-4253
Other names Advanced Surgical Associates, A Division Of Self Medical Group; Advanced Surgical Associates, A Division Of Self Medical Group
NPI enumeratedSeptember 22, 2009
Last updated in NPPESDecember 14, 2021
Certification dateDecember 14, 2021
Mailing address160 Academy Avenue, Greenwood, SC 29646-3808

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