| NPI | 1477880003 |
|---|---|
| Other Name | FAMILY HEALTHCARE NEWBERRY, A DIVISION OF SELF MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MATTHEW T LOGAN President And Chief Executive Offic 864-725-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: SC RHC208) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QR1300X Clinic/Center Rural Health | |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2021-12-14 |