Dr Matthew Tolbert Logan, MD | |
1325 Spring St, Self Regional Healthcare, Dept. Of Emergency Medicine, Greenwood, SC 29646-3860 | |
(864) 725-4111 | |
Not Available |
Full Name | Dr Matthew Tolbert Logan |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1325 Spring St, Greenwood, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902868078 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 23221 (South Carolina) | Primary |
Entity Name | Self Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew Tolbert Logan, MD 113 Tryon Ct, Greenwood, SC 29649-7200 Ph: (864) 229-1216 | Dr Matthew Tolbert Logan, MD 1325 Spring St, Self Regional Healthcare, Dept. Of Emergency Medicine, Greenwood, SC 29646-3860 Ph: (864) 725-4111 |
Dr. Donald Jerome Maddox, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4799 Fax: 864-725-4707 | |
John G Robinson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4780 Fax: 864-725-4778 | |
Richard D Brooksbank, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4780 Fax: 864-725-4778 | |
Gregory C Givens, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4780 Fax: 864-725-4778 | |
Michael David Cox, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4671 | |
John P Short, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4780 Fax: 864-725-4778 | |
Dr. Michelle Maria Curry, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Lakelands Emergency Physicians, Pa, Greenwood, SC 29646 Phone: 864-725-4799 Fax: 864-725-4707 |