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MARY BLACK HEALTH SYSTEM LLC NPI 1871500843


NPI Information

NPI: 1871500843
Provider Name: MARY BLACK HEALTH SYSTEM, LLC

Doing Business As: PIEDMONT INTERNAL MEDICINE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
145B DILLON DR
SPARTANBURG, SC
ZIP 29307
Phone: (864) 582-7892
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MARY BLACK HEALTH SYSTEM, LLC is an internal medicine in Spartanburg, SC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MARY BLACK HEALTH SYSTEM, LLC NPI is 1871500843. The provider is registered as an organization entity type.
The provider Is Doing Business As Piedmont Internal Medicine.

The provider's business location address is:

145B DILLON DR
SPARTANBURG, SC
ZIP 29307-017
Phone: (864) 582-7892

The provider's authorized official is Debbie Brewer .
The authorized official title is Director Of Provider Enrollment and has the following contact phone number (615) 465-7000.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 8/14/2007.


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
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4207R00000XInternal 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
1PENDINGMEDICAIDSOUTH CAROLINA
25286MEDICARE ID-TYPE UNSPECIFIED

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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