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

Self Regional Healthcare

Organization Pediatrics Physician · NPI 1225838832

Self Regional Healthcare provides Pediatrics Physician services in Greenwood, South Carolina. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

210 Wells Ave
Greenwood, SC 29646-3843
Phone: (864) 943-4279
Fax: (864) 223-2642
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1225838832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Logan — President & Ceo · (864) 725-4780
Other names Pediatric Associates Greenwood
NPI enumeratedMarch 14, 2025
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025
Mailing address104 Wells Ave, Greenwood, SC 29646-3837

Other providers in Greenwood