MARY BLACK PHYSICIANS GROUP, LLC

BOILING SPRINGS, SC
NPI1215172796
Other NameFOOTHILLS FAMILY-BOILING SPRINGS
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
2212 OLD FURNACE RD
BOILING SPRINGS, SC 29316-5782
Phone number: 864-578-9735
Mailing Address
MARY BLACK PHYSICIANS GROUP, LLC
PO BOX 277827
ATLANTA, GA 30384-7827
Phone number: 864-253-8080