MARY BLACK PHYSICIANS GROUP LLC

GAFFNEY, SC
NPI1093171332
Doing Business AsORTHO UPSTATE
Entity TypeOrganization
Authorized ContactMICHAEL A SWAW
Director
615-778-8076
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2015-12-31
Last Update Date2015-12-31
Business Address
MARY BLACK PHYSICIANS GROUP LLC
722 HYATT ST SUITE D
GAFFNEY, SC 29341-2643
Phone number: 864-488-3336
Mailing Address
MARY BLACK PHYSICIANS GROUP LLC
PO BOX 689022
FRANKLIN, TN 37068-9022
Phone number: 615-778-8540