NPI
Self Medical Group
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2015-04-22
- Last updated
- 2021-12-14
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 3410 Cokesbury Rd
- City
- Hodges SC
- Postal code
- 29653-9181
- Phone
- (864) 943-2416
Organization contact
- Name
- MATTHEW LOGAN
- Title
- President and CEO
- Phone
- 8647254253
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Hodges, SC. 26 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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