MARY BLACK PHYSICIANS GROUP, LLC

SPARTANBURG, SC
NPI1306081880
Other NameGLACE & NORTON
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
2995 REIDVILLE RD SUITE 260
SPARTANBURG, SC 29301-5628
Phone number: 864-574-2866
Mailing Address
MARY BLACK PHYSICIANS GROUP, LLC
PO BOX 277827
ATLANTA, GA 30384-7827
Phone number: 864-253-8063