MARY BLACK PHYSICIANS GROUP LLC NPI 1124263694

NPI Information

MARY BLACK PHYSICIANS GROUP, LLC is a family medicine in Spartanburg, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MARY BLACK PHYSICIANS GROUP, LLC NPI is 1124263694. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Family Medical Center.

The provider's business location address is:

130 DILLON DR
SPARTANBURG, SC
ZIP 29307-018
Phone: (864) 585-2027

The provider's authorized official is Debbie Brewer .
The authorized official title is Credentialing Supervisor and has the following contact phone number (615) 465-7626.

The enumeration date for this NPI number is 12/11/2008 and was last updated on 12/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.