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 1972342566

Self Medical Group provides Surgery Physician services in Greenwood, South Carolina. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

160 Academy Ave
Greenwood, SC 29646-3808
Phone: (864) 223-8090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1972342566
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Logan — Ceo · (864) 725-4780
Other names Bariatric Services
NPI enumeratedMay 22, 2024
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024
Mailing address104 Wells Ave, Greenwood, SC 29646-3837

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