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

Self Medical Group

Organization Surgery Physician · NPI 1538488457

Self Medical Group is a Surgery Physician in Greenwood, South Carolina. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
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Practice location Address checks out

1506 Spring St
Greenwood, SC 29646-4071
Phone: (864) 725-7900
Fax: (864) 725-7910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1538488457
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Logan — President And Chief Executive Offic · (864) 725-4253
Other names Advanced Cardiothoracic Surgery, A Division Of Self Medical Group; Advanced Cardiothoracic Surgery, A Division Of Self Medical Group
NPI enumeratedMay 18, 2010
Last updated in NPPESMay 31, 2024
Certification dateMay 31, 2024
Mailing address105 Vinecrest Ct # 500, Greenwood, SC 29646-8031

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