MARY BLACK PHYSICIANS GROUP, LLC

SPARTANBURG, SC
NPI1295970770
Entity TypeOrganization
Authorized ContactDEBBIE BREWER
Director Provider Enrollment
615-465-7626
Organization Subpart ?Yes
Primary Taxonomy208600000X Surgery
Enumeration Date2008-12-11
Last Update Date2008-12-11
Business Address
MARY BLACK PHYSICIANS GROUP, LLC
1690 SKYLYN DR SUITE 140
SPARTANBURG, SC 29307-1022
Phone number: 864-591-1664
Mailing Address
MARY BLACK PHYSICIANS GROUP, LLC
PO BOX 277827
ATLANTA, GA 30384-7827
Phone number: 864-253-8080
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