| Internal Medicine Of The Piedmont, A Division Of Self Medical Group | |
|
104 Liner Drive Greenwood SC 29646 | |
| (864) 227-1115 | |
| (864) 227-2046 |
| Full Name | Internal Medicine Of The Piedmont, A Division Of Self Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 104 Liner Drive, 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 |
|---|---|
| Internal Medicine Of The Piedmont, A Division Of Self Medical Group 104 Liner Drive Greenwood SC 29646 Ph: (864) 227-1115 | Internal Medicine Of The Piedmont, A Division Of Self Medical Group 104 Liner Drive Greenwood SC 29646 Ph: (864) 227-1115 |
| NPI Number | 1588969448 |
|---|---|
| Provider Enumeration Date | 01/24/2011 |
| Last Update Date | 12/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588969448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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Uptown Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 313 Main St Ste B, Greenwood, SC 29646 Phone: 864-229-4446 Fax: 864-229-8037 | |
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