| NPI | 1013579259 |
|---|---|
| Other Name | ANESTHESIOLOGY SERVICES OF SELF MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MATTHEW T LOGAN President And CEO 864-725-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2021-12-14 |