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

Self Medical Group

Organization Internal Medicine Physician · NPI 1104137892

Self Medical Group is an Internal Medicine Physician in Laurens, South Carolina. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

22580 Highway 76 E Ste 200
Laurens, SC 29360-8439
Phone: (864) 833-0055
Fax: (864) 833-4008
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1104137892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Logan — President And Chief Executive Offic · (864) 725-4253
Other names Internal Medical Laurens A Division Of Self Medical Group; Internal Medical Laurens A Division Of Self Medical Group
NPI enumeratedJune 28, 2010
Last updated in NPPESDecember 14, 2021
Certification dateDecember 14, 2021
Mailing address22580 Highway 76 E, Suite 200, Laurens, SC 29360-8439

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