MARY BLACK HEALTH SYSTEM, LLC

SPARTANBURG, SC
NPI1134137581
Doing Business AsHILLCREST FAMILY PRACTICE
Entity TypeOrganization
Authorized ContactDEBBIE BREWER
Director Of Provider Enrollment
615-465-7000
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2006-08-03
Last Update Date2007-08-14
Business Address
MARY BLACK HEALTH SYSTEM, LLC
1770 SKYLYN DR
SPARTANBURG, SC 29307-1045
Phone number: 864-582-7200
Mailing Address
MARY BLACK HEALTH SYSTEM, LLC
138 DILLON DR STE A
SPARTANBURG, SC 29307-1018
Phone number: 864-542-8980