Mary Black Physicians Group LLC

NPI #1962584938 in Union, South Carolina

Provider Information

NPI Number
1962584938
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 19, 2006
Last Updated
Aug 12, 2008

Practice Location

Address
1005 THOMPSON BLVD
City
Union
ZIP Code
29379-7409
Phone
(864) 427-9311

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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