Mary Black Health System LLC

NPI #1861415085 in Duncan, South Carolina

Provider Information

NPI Number
1861415085
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 26, 2006
Last Updated
Jun 25, 2008

Practice Location

Address
500 SQUIRES POINTE
City
Duncan
ZIP Code
29334
Phone
(864) 433-8980

Authorized Official

Name
DEBBIE BREWER
Title
DIRECTOR OF PROVIDER ENROLLMENT
Phone
(615) 465-7000

Specialties & Taxonomy Codes

Specialty
Family Medicine

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