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

Self Medical Group

Organization Otolaryngology Physician · NPI 1134981947

Self Medical Group is an Otolaryngology Physician in Greenwood, South Carolina. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

1015 Spring St
Greenwood, SC 29646-3831
Phone: (864) 227-6741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X
Audiologist Taxonomy 231H00000X

Record details

NPI number1134981947
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Logan — Ceo · (864) 725-4780
Other names Lakelands Ear Nose And Throat; Lakelands Ear Nose And Throat
NPI enumeratedJanuary 26, 2024
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024
Mailing address1015 Spring St, Greenwood, SC 29646-3831

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