| Family Healthcare Coronaca, A Division Of Self Medical Group | |
|
110 Highway 246 N Greenwood SC 29649-8748 | |
| (864) 725-1750 | |
| (864) 725-1762 |
| Full Name | Family Healthcare Coronaca, A Division Of Self Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 110 Highway 246 N, Greenwood, South Carolina |
| Authorized Official Name and Position | Matthew T Logan (PRESIDENT AND CEO) |
| Authorized Official Contact | 8647254253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Healthcare Coronaca, A Division Of Self Medical Group 110 Highway 246 N Greenwood SC 29649-8748 Ph: (864) 725-1750 | Family Healthcare Coronaca, A Division Of Self Medical Group 110 Highway 246 N Greenwood SC 29649-8748 Ph: (864) 725-1750 |
| NPI Number | 1750800264 |
|---|---|
| Provider Enumeration Date | 09/15/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750800264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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