NPI | 1932657301 |
---|---|
Other Name | GREENWOOD PAIN MANAGEMENT, A DIVISION OF SELF MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | MATTHEW T LOGAN President And CFO 864-725-4253 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Enumeration Date | 2016-09-14 |
Last Update Date | 2021-12-14 |