Mary Black Health System LLC
NPI #1629090568 in Pacolet, South Carolina
Provider Information
- NPI Number
- 1629090568
- 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
- Family Medicine
- Enumeration Date
- Jul 23, 2006
- Last Updated
- Aug 22, 2007
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 OF PROVIDER ENROLLMENT
- Phone
- (615) 465-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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