Mary Black Physicians Group, LLC
NPI #1043455520 in Chesnee, South Carolina
Provider Information
- NPI Number
- 1043455520
- 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
- Family Medicine
- Enumeration Date
- Dec 11, 2008
- Last Updated
- Dec 11, 2008
Practice Location
- Address
- 702 S ALABAMA AVE
- City
- Chesnee
- State
- South Carolina
- ZIP Code
- 29323-1706
- Phone
- (864) 703-1414
Authorized Official
- Name
- DEBBIE BREWER
- Title
- DIRECTOR PROVIDER ENROLLMENT
- Phone
- (645) 465-7626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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Organizations
| Provider Name | |
|---|---|
| Mary Black Health System LLC Part of Mary Black Health System LLC | AI Deep Dive |
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