DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SELF MEDICAL GROUP

Deactivated Organization

SELF MEDICAL GROUP is a Urology organization located in GREENWOOD, South Carolina. NPI 1871809855 is deactivated in the NPPES registry. Verify at CMS.

Urology · GREENWOOD, SC

This NPI has been deactivated. The record was deactivated on May 22, 2012. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1871809855
Provider Type
Organization
NPI Issued
Aug 27, 2010 (1.7349726775956 yrs)
Last Updated
Dec 14, 2021
Deactivated
May 22, 2012

Practice Information

Address
109 LINER DR
GREENWOOD, SC, 296462311
Browse SC providers · Browse ZIP 29646
Phone
8642276401
Fax
8649414995
Primary Specialty
Urology
208800000X

Other Urology Organizations in GREENWOOD, SC

Name NPI
GREENWOOD UROLOGICAL P.A. 1649273749
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.