Mary Black Physicians Group LLC
NPI #1336344852 in Roebuck, South Carolina
Provider Information
- NPI Number
- 1336344852
- 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
- Clinic/Center - Rural Health
- Enumeration Date
- Jun 15, 2007
- Last Updated
- Aug 8, 2008
Practice Location
- Address
- 5229 HIGHWAY 221
- City
- Roebuck
- State
- South Carolina
- ZIP Code
- 29376-3305
- Phone
- (864) 576-8193
Authorized Official
- Name
- DEBBIE T BREWER
- Title
- DIRECTOR
- Phone
- (877) 892-9813
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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