| NPI | 1376041798 |
|---|---|
| Other Name | PROFESSIONAL SERVICES OF SELF MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MATTHEW T LOGAN President And CEO 864-725-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2021-12-14 |