<Unavail>

LBN: Mary Black Physicians Group, Llc
<Unavail> is an health care organization with primary practice located at 1770 Skylyn Dr , Spartanburg SC 29307-1045. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as the primary health care specialty. Mary Black Physicians Group, Llc can be contacted via phone (864) 582-7892, or through Brewer, Debbie via phone (615) 465-7626.

Contact Information

Primary practice address
1770 Skylyn Dr Spartanburg SC 29307-1045
Phone: (864) 582-7892
Fax: (864) 582-1269
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Debbie
Phone: (615) 465-7626

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X

Profile Details

NPI number 1588809198
LBN Legal business name Mary Black Physicians Group, Llc
DBA Doing business as <Unavail>
Authorized official Brewer, Debbie
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 10th, 2008
Last updated Dec 10th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588809198 NPPES
South Carolina MEDICAID GP4763

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