MARY BLACK PHYSICIANS GROUP LLC NPI 1295823045

NPI Information

NPI: 1295823045
Provider Name: MARY BLACK PHYSICIANS GROUP LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address: 130 DILLON DR
SPARTANBURG, SC
ZIP 29307
Phone: (864) 585-2027

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NPI Details

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 1295823045. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

130 DILLON DR
SPARTANBURG, SC
ZIP 29307-018
Phone: (864) 585-2027
Fax: (864) 585-2488

The provider's authorized official is Sophia L Arwood .
The authorized official title is Director and has the following contact phone number (615) 628-6038.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 1/22/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207R00000X	Internal Medicine		No
2	207RG0100X	Internal Medicine	Gastroenterology	No
3	207RI0200X	Internal Medicine	Infectious Disease	No
4	207Y00000X	Otolaryngology		No
5	208000000X	Pediatrics		No
6	2085R0202X	Radiology	Diagnostic Radiology	No
7	208600000X	Surgery		No
8	2086S0105X	Surgery	Surgery of the Hand	No
9	208800000X	Urology		No
10	208C00000X	Colon & Rectal Surgery		No
11	208D00000X	General Practice		No
12	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
13	207Q00000X	Family Medicine		Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8688	MEDICARE PIN	SOUTH CAROLINA
2	GP4690	MEDICAID	SOUTH 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: 11/21/2025

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