| Advanced Wound Healing, A Division Of Self Medical Group | |
|
138 Wells Avenue Greenwood SC 29646-3837 | |
| (864) 725-4138 | |
| (864) 725-4666 |
| Full Name | Advanced Wound Healing, A Division Of Self Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 138 Wells Avenue, Greenwood, South Carolina |
| Authorized Official Name and Position | Matthew T Logan (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
| Authorized Official Contact | 8647254253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Wound Healing, A Division Of Self Medical Group 138 Wells Avenue Greenwood SC 29646-3837 Ph: (864) 725-4138 | Advanced Wound Healing, A Division Of Self Medical Group 138 Wells Avenue Greenwood SC 29646-3837 Ph: (864) 725-4138 |
| NPI Number | 1417252636 |
|---|---|
| Provider Enumeration Date | 01/19/2011 |
| Last Update Date | 12/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417252636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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