MARY BLACK PHYSICIANS GROUP LLC NPI 1619339660

NPI Information

  • NPI: 1619339660
  • Provider Name: MARY BLACK PHYSICIANS GROUP LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: WESTSIDE MINOR CAR
  • Address: 2995 REIDVILLE RD
    SPARTANBURG, SC
    ZIP 29301
  • Phone: (864) 587-3000

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NPI Details

MARY BLACK PHYSICIANS GROUP LLC is a durable medical equipment medical supplies in Spartanburg, SC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MARY BLACK PHYSICIANS GROUP LLC NPI is 1619339660. The provider is registered as an organization entity type.
The provider Is Doing Business As Westside Minor Car.

The provider's business location address is:

2995 REIDVILLE RD
SPARTANBURG, SC
ZIP 29301-628
Phone: (864) 587-3000

The provider's authorized official is Michael A Swaw .
The authorized official title is Director and has the following contact phone number (615) 778-8076.

The enumeration date for this NPI number is 3/28/2016 and was last updated on 3/28/2016.

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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

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

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