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

Self Medical Group

Organization Family Medicine Physician · NPI 1609262807

Self Medical Group is a Family Medicine Physician in Ninety Six, South Carolina. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

103 Little Mountain Rd
Ninety Six, SC 29666-9252
Phone: (864) 543-3515
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1609262807
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Logan — President And Ceo · (864) 725-4253
Other names Family Healthcare Ninety Six, A Division Of Self Medical Group; Family Healthcare Ninety Six, A Division Of Self Medical Group
NPI enumeratedApril 14, 2015
Last updated in NPPESDecember 14, 2021
Certification dateDecember 14, 2021
Mailing address103 Little Mountain Rd, Ninety Six, SC 29666-9252

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