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MARY BLACK HLTH SYS LLC NPI 1760493985


NPI Information

NPI: 1760493985
Provider Name: MARY BLACK HLTH SYS, LLC

Doing Business As: CAROLINAS FAMILY PHYSICIANS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1690 SKYLYN DR STE 210
SPARTANBURG, SC
ZIP 29307
Phone: (864) 585-7887
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MARY BLACK HLTH SYS, 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 HLTH SYS, LLC NPI is 1760493985. The provider is registered as an organization entity type.
The provider Is Doing Business As Carolinas Family Physicians.

The provider's business location address is:

1690 SKYLYN DR STE 210
SPARTANBURG, SC
ZIP 29307-075
Phone: (864) 585-7887

The provider's authorized official is Rebecca Hurley .
The authorized official title is Senior Vice President and has the following contact phone number (214) 473-3993.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 8/5/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2363LF0000XNurse PractitionerFamilyNo
3207Q00000XFamily MedicineYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GP1630MEDICAIDSOUTH CAROLINA
25285MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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