Internal Medical Laurens A Division Of Self Medical Group | |
22580 Highway 76 E Suite 200 Laurens SC 29360-8439 | |
(864) 833-0055 | |
(864) 833-4008 |
Full Name | Internal Medical Laurens A Division Of Self Medical Group |
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Speciality | Internal Medicine |
Location | 22580 Highway 76 E, Laurens, 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 |
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Internal Medical Laurens A Division Of Self Medical Group 22580 Highway 76 E Suite 200 Laurens SC 29360-8439 Ph: (864) 833-0055 | Internal Medical Laurens A Division Of Self Medical Group 22580 Highway 76 E Suite 200 Laurens SC 29360-8439 Ph: (864) 833-0055 |
NPI Number | 1104137892 |
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Provider Enumeration Date | 06/28/2010 |
Last Update Date | 12/14/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104137892 | NPI | - | NPPES |
GP5453 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Supplemental Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Parkview Dr, Laurens, SC 29360 Phone: 864-681-2955 | |
Health Centers At Laurens, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1113 W Main St, Laurens, SC 29360 Phone: 864-984-5522 Fax: 864-752-1036 | |
Cecil Y Brown M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 W Farley Ave, Laurens, SC 29360 Phone: 864-984-0502 Fax: 864-984-5534 | |
Self Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22580 Highway 76 E Ste 200, Laurens, SC 29360 Phone: 864-833-0055 | |
Laurens Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Parkview Dr, Laurens, SC 29360 Phone: 864-984-0571 Fax: 864-984-3610 | |
C Joanne Brownlee Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Sirrine St, Laurens, SC 29360 Phone: 864-984-7561 Fax: 864-984-1195 |