Mary Black Physicians Group LLC
NPI #1518185396 in Pacolet, South Carolina
Provider Information
- NPI Number
- 1518185396
- Entity Type
- Organization
- Organization Name
- Mary Black Physicians Group LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 24, 2007
- Last Updated
- Jun 12, 2009
Practice Location
- Address
- 391 GLENN SPRINGS RD
- City
- Pacolet
- State
- South Carolina
- ZIP Code
- 29372-2417
- Phone
- (864) 474-3013
Authorized Official
- Name
- DEBBIE BREWER
- Title
- DIRECTOR, PROVIDER ENROLLMENT
- Phone
- (615) 465-7626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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