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

Self Medical Group

Organization Internal Medicine Physician · NPI 1588969448

Self Medical Group is an Internal Medicine Physician in Greenwood, South Carolina. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
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Practice location Address checks out

104 Liner Dr
Greenwood, SC 29646
Phone: (864) 227-1115
Fax: (864) 227-2046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1588969448
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSelf Medical Group
Authorized official Matthew Logan — President And Chief Executive Offic · (864) 725-4253
Other names Internal Medicine Of The Piedmont, A Division Of Self Medical Group; Internal Medicine Of The Piedmont, A Division Of Self Medical Group
NPI enumeratedJanuary 24, 2011
Last updated in NPPESDecember 14, 2021
Certification dateDecember 14, 2021
Mailing address104 Liner Drive, Greenwood, SC 29646

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