| NPI | 1871816538 |
|---|---|
| Other Name | NEONATOLOGY SPECIALISTS 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 | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2021-12-14 |