Mary Black Health System LLC
NPI #1043405657 in Spartanburg, South Carolina
Provider Information
- NPI Number
- 1043405657
- Entity Type
- Organization
- Organization Name
- Mary Black Health System LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Sep 7, 2007
- Last Updated
- Sep 7, 2007
Practice Location
- Address
- 1770 SKYLYN DR
- City
- Spartanburg
- State
- South Carolina
- ZIP Code
- 29307-1045
- Phone
- (864) 596-7420
Authorized Official
- Name
- DEBBIE BREWER
- Title
- DIRECTOR OF PROVIDER ENROLLMENT
- Phone
- (615) 465-7626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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