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MARY BLACK PHYSICIANS GROUP LLC NPI 1568607190


NPI Information

NPI: 1568607190
Provider Name: MARY BLACK PHYSICIANS GROUP, LLC

Other Name: MARY BLACK GASTROENTEROLOGY ASSOCIATES

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
11 DOCTORS PARK DR
SUITE 240
SPARTANBURG, SC
ZIP 29307
Phone: (864) 573-3593
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MARY BLACK PHYSICIANS GROUP, LLC is a gastroenterology internal medicine in Spartanburg, SC. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. MARY BLACK PHYSICIANS GROUP, LLC NPI is 1568607190. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Mary Black Gastroenterology Associates.

The provider's business location address is:

11 DOCTORS PARK DR
SUITE 240
SPARTANBURG, SC
ZIP 29307-024
Phone: (864) 573-3593

The provider's authorized official is Debbie Brewer .
The authorized official title is Director Provider Enrollment 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 1/8/2009.


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
1207RG0100XInternal MedicineGastroenterologyYes

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: 4/28/2024

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