| NPI | 1588969448 |
|---|---|
| Other Name | INTERNAL MEDICINE OF THE PIEDMONT, A DIVISION OF SELF MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MATTHEW T LOGAN President And Chief Executive Offic 864-725-4253 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2021-12-14 |