Self Medical Group

LBN: Self Medical Group
Self Medical Group is an health care organization with primary practice located at 22580 Highway 76 E Ste 200 , Laurens SC 29360-8460. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Self Medical Group can be contacted via phone (864) 833-0055, or through Logan, Matthew Tolbert via phone (864) 725-4780.

Contact Information

Primary practice address
22580 Highway 76 E Ste 200 Laurens SC 29360-8460
Phone: (864) 833-0055
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Logan, Matthew Tolbert Doctor of Medicine (MD)
Phone: (864) 725-4780

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1467214049
LBN Legal business name Self Medical Group
DBA Doing business as
Authorized official Logan, Matthew Tolbert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2024
Last updated Jan 29th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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