Pediatric Associates Greenwood, A Division Of Self Medical Group - Mental Health Clinic in Greenwood, SC

Pediatric Associates Greenwood, A Division Of Self Medical Group is a mental health clinic (Pediatrics) in Greenwood, South Carolina. The current practice location for Pediatric Associates Greenwood, A Division Of Self Medical Group is 210 Wells Ave, Greenwood, South Carolina. For appointments, you can reach them via phone at (864) 943-4279. The mailing address for Pediatric Associates Greenwood, A Division Of Self Medical Group is 210 Wells Ave, Greenwood, South Carolina and phone number is (864) 943-4279.

Pediatric Associates Greenwood, A Division Of Self Medical Group is licensed to practice in * (Not Available) (license number ) and its NPI number is 1720475221. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (864) 943-4279.

Contact Information

Pediatric Associates Greenwood, A Division Of Self Medical Group
210 Wells Ave
Greenwood
SC 29646-3843
(864) 943-4279
(864) 223-2642

Mental Health Clinic Profile

Full NamePediatric Associates Greenwood, A Division Of Self Medical Group
SpecialityPediatrics
Location210 Wells Ave, Greenwood, South Carolina
Authorized Official Name and PositionMatthew T Logan (PRESIDENT AND CEO)
Authorized Official Contact8647254253
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pediatric Associates Greenwood, A Division Of Self Medical Group
210 Wells Ave
Greenwood
SC 29646-3843

Ph: (864) 943-4279
Pediatric Associates Greenwood, A Division Of Self Medical Group
210 Wells Ave
Greenwood
SC 29646-3843

Ph: (864) 943-4279

NPI Details:

NPI Number1720475221
Provider Enumeration Date04/22/2015
Last Update Date12/14/2021
Certification Date12/14/2021

Medical Identifiers

Medical identifiers for Pediatric Associates Greenwood, A Division Of Self Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720475221NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Primary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LP0200XNurse Practitioner - Pediatrics (* (Not Available))Secondary

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Pediatrics in Greenwood, SC

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