Mary Black Health System, LLC

NPI #1528075082 in Spartanburg, South Carolina

Provider Information

NPI Number
1528075082
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
Specialist/Technologist, Pathology
Enumeration Date
Aug 1, 2006
Last Updated
Aug 14, 2007

Practice Location

Address
138 DILLON DR STE A
ZIP Code
29307-1018
Phone
(864) 542-8980

Authorized Official

Name
DEBBIE BREWER
Title
DIRECTOR OF PROVIDER ENROLLMENT
Phone
(615) 465-7000

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Specialist/Technologist, Pathology

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