NPI | 1376930875 |
---|---|
Other Name | FAMILY HEALTHCARE WEST GREENWOOD, A DIVISION OF SELF MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | MATTHEW T LOGAN President And CEO 864-725-4253 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2015-04-22 |
Last Update Date | 2021-12-14 |