| NPI | 1205475688 |
|---|---|
| Other Name | NEPHROLOGY SERVICES OF SELF MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MATTHEW T LOGAN President And CEO 864-725-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2021-12-14 |