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

Self Medical Group

Organization Nephrology Physician · NPI 1205475688

Self Medical Group is a Nephrology Physician in Greenwood, South Carolina. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1123 Spring St
Greenwood, SC 29646-3833
Phone: (864) 450-9036
Fax: (864) 450-9038
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1205475688
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Logan — President And Ceo · (864) 725-4253
Other names Nephrology Services Of Self Medical Group; Nephrology Services Of Self Medical Group
NPI enumeratedJanuary 2, 2020
Last updated in NPPESDecember 14, 2021
Certification dateDecember 14, 2021
Mailing address1123 Spring St, Greenwood, SC 29646-3833

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