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
- City
- Spartanburg
- State
- South Carolina
- 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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