1578507174 MARY BLACK HEALTH SYSTEM LLC
Family Medicine Physician
Active
Basic Information
- Organization Name
- MARY BLACK HEALTH SYSTEM LLC
- Enumeration Date
- June 15, 2006
- Last Update
- July 16, 2008
- Authorized Official
- DEBBIE BREWER
DIRECTOR OF PROVIDER ENROLLMENT
Phone: (615) 465-7000
Practice Location
- Address
- 1690 SKYLYN DR
SUITE 300
SPARTANBURG, SC 293071022 - Phone
- (864) 582-1201
- Fax
- (864) 596-7409
Mailing Address
- Address
- PO BOX 406757
ATLANTA, GA 303846757 - Phone
- (864) 253-8063
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Internal Medicine | N/A | N/A | No |
| Gastroenterology Physician Gastroenterology | 207RG0100X | Internal Medicine | N/A | N/A | No |
| Infectious Disease Physician Infectious Disease | 207RI0200X | Internal Medicine | N/A | N/A | No |
| Obstetrics & Gynecology Physician | 207V00000X | Obstetrics & Gynecology | N/A | N/A | No |
| Orthopaedic Surgery Physician | 207X00000X | Orthopaedic Surgery | N/A | N/A | No |
| Otolaryngology Physician | 207Y00000X | Otolaryngology | N/A | N/A | No |
| Pediatrics Physician | 208000000X | Pediatrics | N/A | N/A | No |
| Diagnostic Radiology Physician Diagnostic Radiology | 2085R0202X | Radiology | N/A | N/A | No |
| Surgery Physician | 208600000X | Surgery | N/A | N/A | No |
| Surgery of the Hand (Surgery) Physician Surgery of the Hand | 2086S0105X | Surgery | N/A | N/A | No |
| Urology Physician | 208800000X | Urology | N/A | N/A | No |
| Colon & Rectal Surgery Physician | 208C00000X | Colon & Rectal Surgery | N/A | N/A | No |
| Podiatrist | 213E00000X | Podiatrist | N/A | N/A | No |
| Mammography Clinic/Center Radiology, Mammography | 261QR0206X | Clinic/Center | N/A | N/A | No |
| Family Medicine Physician | 207Q00000X | Family Medicine | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP1325 | 05 | SC | N/A |
| GP4572 | 05 | SC | N/A |
| CE9631 | 01 | SC | MEDICARE RAILROAD |
| GP1610 | 05 | SC | N/A |
| GP1628 | 05 | SC | N/A |
| GP4573 | 05 | SC | N/A |
| GP4628 | 05 | SC | N/A |
Frequently Asked Questions
What is MARY BLACK HEALTH SYSTEM LLC's NPI number?
MARY BLACK HEALTH SYSTEM LLC's NPI number is 1578507174.
Which doctor has NPI number 1578507174?
The doctor with NPI number 1578507174 is MARY BLACK HEALTH SYSTEM LLC.
What is MARY BLACK HEALTH SYSTEM LLC's practice address?
MARY BLACK HEALTH SYSTEM LLC's practice address is 1690 SKYLYN DR, SUITE 300, SPARTANBURG, SC, 293071022.
Which doctor practices at 1690 SKYLYN DR, SUITE 300, SPARTANBURG, SC, 293071022?
MARY BLACK HEALTH SYSTEM LLC practices at 1690 SKYLYN DR, SUITE 300, SPARTANBURG, SC, 293071022.
What is MARY BLACK HEALTH SYSTEM LLC's mailing address?
MARY BLACK HEALTH SYSTEM LLC's mailing address is PO BOX 406757, ATLANTA, GA, 303846757.
What is MARY BLACK HEALTH SYSTEM LLC's phone number?
MARY BLACK HEALTH SYSTEM LLC's phone number is (864) 582-1201.
Who is (864) 582-1201?
(864) 582-1201 is the phone number for MARY BLACK HEALTH SYSTEM LLC.
What is MARY BLACK HEALTH SYSTEM LLC's specialty?
MARY BLACK HEALTH SYSTEM LLC's specialty is Family Medicine Physician.
What type of doctor is MARY BLACK HEALTH SYSTEM LLC?
MARY BLACK HEALTH SYSTEM LLC is a Family Medicine Physician.
Is MARY BLACK HEALTH SYSTEM LLC a Family Medicine?
Yes, MARY BLACK HEALTH SYSTEM LLC is a Family Medicine.
Is MARY BLACK HEALTH SYSTEM LLC still practicing?
Yes, MARY BLACK HEALTH SYSTEM LLC is currently practicing.
Is MARY BLACK HEALTH SYSTEM LLC accepting new patients?
MARY BLACK HEALTH SYSTEM LLC may be accepting new patients. Please call their office at (864) 582-1201 to inquire about availability.
Is NPI 1578507174 still active?
Yes, NPI 1578507174 is currently active.
Where does MARY BLACK HEALTH SYSTEM LLC practice?
MARY BLACK HEALTH SYSTEM LLC practices in SPARTANBURG, SC.