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 1619775244

Self Regional Healthcare is a Family Medicine Physician in Ninety Six, South Carolina. Registered with an NPI since 2025.

In the registry since
2025

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 number1619775244
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Logan — President & Ceo · (864) 725-4780
Other names Family Healthcare Ninety Six
NPI enumeratedMarch 7, 2025
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025
Mailing address104 Wells Ave, Greenwood, SC 29646-3837

Other providers in Ninety Six