MARY BLACK PHYSICIANS GROUP LLC NPI 1568607190

NPI Information

  • NPI: 1568607190
  • Provider Name: MARY BLACK PHYSICIANS GROUP, LLC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Other Name: MARY BLACK GASTROENTEROLOGY ASSOCIATES
  • Address: 11 DOCTORS PARK DR
    SUITE 240
    SPARTANBURG, SC
    ZIP 29307
  • Phone: (864) 573-3593

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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