| Family Healthcare Savannah Lakes, A Division Of Self Medical Group | |
|
207 Holiday Road Mccormick SC 29835-3430 | |
| (864) 391-5011 | |
| (864) 391-5012 |
| Full Name | Family Healthcare Savannah Lakes, A Division Of Self Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 207 Holiday Road, Mccormick, 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 |
|---|---|
| Family Healthcare Savannah Lakes, A Division Of Self Medical Group 207 Holiday Road Mccormick SC 29835-3430 Ph: (864) 391-5011 | Family Healthcare Savannah Lakes, A Division Of Self Medical Group 207 Holiday Road Mccormick SC 29835-3430 Ph: (864) 391-5011 |
| NPI Number | 1629382056 |
|---|---|
| Provider Enumeration Date | 07/27/2010 |
| Last Update Date | 12/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629382056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Ohio Valley Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 North Mine St, Mccormick, SC 29835 Phone: 864-852-3306 |