Mary Black Physicians Group, LLC
NPI #1013152669 in Spartanburg, South Carolina
Provider Information
- NPI Number
- 1013152669
- Entity Type
- Organization
- Organization Name
- Mary Black Physicians Group, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MARY BLACK PHYSICIANS GROUP, LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Dec 11, 2008
- Last Updated
- Dec 11, 2008
Practice Location
- Address
- 1690 SKYLYN DR
- Address 2
- SUITE 300
- City
- Spartanburg
- State
- South Carolina
- ZIP Code
- 29307-1022
- Phone
- (864) 342-4000
Authorized Official
- Name
- DEBBIE BREWER
- Title
- DIRECTOR PROVIDER ENROLLMENT
- Phone
- (615) 465-7626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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