Mary Black Physicians Group, LLC
NPI #1952546434 in Landrum, South Carolina
Provider Information
- NPI Number
- 1952546434
- 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
- Nurse Practitioner - Family
- Enumeration Date
- Dec 11, 2008
- Last Updated
- Dec 11, 2008
Practice Location
- Address
- 108 W RUTHERFORD ST
- City
- Landrum
- State
- South Carolina
- ZIP Code
- 29356-1526
- Phone
- (864) 457-2363
Authorized Official
- Name
- DEBBIE BREWER
- Title
- DIRECTOR PROVIDER ENROLLMENT
- Phone
- (615) 465-7626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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