Mary Black Physician Services LLC
NPI #1811950645 in Duncan, South Carolina
Provider Information
- NPI Number
- 1811950645
- Entity Type
- Organization
- Organization Name
- Mary Black Physician Services LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Apr 11, 2006
- Last Updated
- Jun 20, 2018
Practice Location
- Address
- 170 RIDGEVIEW CENTER DR
- City
- Duncan
- State
- South Carolina
- ZIP Code
- 29334-9635
- Phone
- (864) 573-3124
Authorized Official
- Name
- TAMMY V MCCOLLUM
- Title
- BUSINESS OFFICE DIRECTOR
- Phone
- (864) 253-8063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
| Physician Assistant |
| Nurse Practitioner |
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