Emary Black Physicians Group, LLC

NPI #1760627244 in Pacolet, South Carolina

Provider Information

NPI Number
1760627244
Entity Type
Organization
Organization Name
Emary Black Physicians Group, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MARY BLACK PHYSICIANS GROUP, LLC
Primary Specialty
Family Medicine
Enumeration Date
Dec 11, 2008
Last Updated
Dec 11, 2008

Practice Location

Address
391 GLENN SPRINGS RD
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
Family Medicine

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