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

Self Medical Group

Organization Plastic and Reconstructive Surgery Physician · NPI 1033832530

Self Medical Group is a Plastic and Reconstructive Surgery Physician in Greenwood, South Carolina. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

305 W Alexander Ave # A
Greenwood, SC 29646-4009
Phone: (864) 223-0505
Fax: (864) 223-7075
Show map & directions

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

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1033832530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Logan — President And Ceo · (864) 725-4253
Other names Lakelands Plastic Surgery
NPI enumeratedSeptember 21, 2022
Last updated in NPPESNovember 7, 2022
Certification dateNovember 7, 2022
Mailing address305 W Alexander Ave # A, Greenwood, SC 29646-4009

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