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

Self Regional Healthcare

Organization Family Medicine Physician · NPI 1326067703

Self Regional Healthcare is a Family Medicine Physician in Greenwood, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006

Practice location Address checks out

155 Academy Ave
Greenwood, SC 29646-3869
Phone: (864) 725-4865
Fax: (864) 725-4883
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 038 (SC)

Record details

NPI number1326067703
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Logan — President & Ceo · (864) 725-4253
Other names Montgomery Center For Family Medicine Of Srh; Montgomery Center For Family Medicine Of Srh
NPI enumeratedJuly 18, 2006
Last updated in NPPESDecember 14, 2021
Certification dateDecember 14, 2021
Mailing address155 Academy Ave, Greenwood, SC 29646-3808

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