Mary Black Physicians Group LLC

NPI #1639254683 in Union, South Carolina

Provider Information

NPI Number
1639254683
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
Oct 26, 2006
Last Updated
Aug 11, 2008

Practice Location

Address
429 E MAIN ST
City
Union
ZIP Code
29379-1902
Phone
(864) 427-9045

Authorized Official

Name
DEBBIE T BREWER
Title
DIRECTOR
Phone
(877) 892-9813

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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