MARY BLACK PHYSICIANS GROUP, LLC

SPARTANBURG, SC
NPI1205071784
Other NamePEDIATRIC ASSOCIATES-EAST
Entity TypeOrganization
Authorized ContactDEBBIE BREWER
Director Provider Enrollment
615-465-7626
Organization Subpart ?Yes
Primary Taxonomy2080A0000X Pediatrics, Adolescent Medicine
Enumeration Date2008-12-11
Last Update Date2008-12-11
Business Address
MARY BLACK PHYSICIANS GROUP, LLC
1686 SKYLYN DR STE 201
SPARTANBURG, SC 29307-1079
Phone number: 864-582-8135
Mailing Address
MARY BLACK PHYSICIANS GROUP, LLC
PO BOX 277827
ATLANTA, GA 30384-7827
Phone number: 864-253-8063