Mary Black Health System LLC
NPI #1073620654 in Spartanburg, South Carolina
Provider Information
- NPI Number
- 1073620654
- Entity Type
- Organization
- Organization Name
- Mary Black Health System LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MARY BLACK HEALTH SYSTEM LLC
- Primary Specialty
- Obstetrics & Gynecology - Maternal & Fetal Medicine
- Enumeration Date
- Aug 23, 2006
- Last Updated
- Aug 14, 2007
Practice Location
- Address
- 1686 SKYLYN DR STE 102
- City
- Spartanburg
- State
- South Carolina
- ZIP Code
- 29307-1058
- Phone
- (864) 573-3272
Authorized Official
- Name
- DEBBIE BREWER
- Title
- DIRECTOR OF PROVIDER ENROLLMENT
- Phone
- (615) 465-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology - Maternal & Fetal Medicine — Maternal & Fetal Medicine |
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