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Self Medical Group — NPI 1760808083, Greenwood, SC | NPI Central

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OrganizationActive

Self Medical Group

NPI 1760808083 · Occupational Medicine Clinic/Center · Greenwood, SC

Provider details

NPI number: 1760808083
Entity type: Organization
Primary specialty: Occupational Medicine Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Matthew Logan, President and Ceo(864) 725-4253

Specialties & taxonomies

Occupational Medicine Clinic/CenterPrimary261QX0100X
Ambulatory Health Care Facilities

Practice location

450 Old Brickyard Rd

Greenwood, SC 29649-8681

Phone: (864) 725-7491

Approximate (ZIP-level) locationGet directions

More SC providers

Mailing address

104 Wells Ave

Greenwood, SC 29646-3837

Other names (DBA / former)

Other name: Light and Life Wellness Clinic
Other name: Light and Life Wellness Clinic

Registry dates

Enumerated: 2014-03-11
Last updated: 2021-12-14
Certified: 2021-12-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.