MARY BLACK PHYSICIANS GROUP, LLC

SPARTANBURG, SC
NPI1053556522
Other NameFAMILY PHYSICIANS OF SPARTANBURG
Entity TypeOrganization
Authorized ContactDEBBIE BREWER
Director Provider Enrollment
615-465-7626
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2008-12-11
Last Update Date2008-12-11
Business Address
MARY BLACK PHYSICIANS GROUP, LLC
1250 JOHN B WHITE SR BLVD
SPARTANBURG, SC 29306-3929
Phone number: 864-576-9201
Mailing Address
MARY BLACK PHYSICIANS GROUP, LLC
PO BOX 277827
ATLANTA, GA 30384-7827
Phone number: 864-253-8080