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

Self Medical Group

Organization Nurse Practitioner · NPI 1104572411

Self Medical Group is a Nurse Practitioner in Greenwood, South Carolina. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

410 Epting Ave
Greenwood, SC 29646-4040
Phone: (864) 725-5326
Fax: (864) 725-5327
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1104572411
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Logan — President And Ceo · (864) 725-4253
Other names Virtual Services; Virtual Services
NPI enumeratedFebruary 24, 2022
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022
Mailing address410 Epting Ave, Greenwood, SC 29646-4040

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