MARY BLACK HEALTH SYSTEM, LLC

SPARTANBURG, SC
NPI1376551713
Entity TypeOrganization
Authorized ContactDEBBIE BREWER
Director Of Provider Enrollment
615-465-7000
Organization Subpart ?Yes
Primary Taxonomy208800000X Urology
Enumeration Date2006-08-03
Last Update Date2007-08-14
Business Address
MARY BLACK HEALTH SYSTEM, LLC
1 DOCTORS PARK DR
SPARTANBURG, SC 29307-1021
Phone number: 864-585-2587
Mailing Address
MARY BLACK HEALTH SYSTEM, LLC
138 DILLON DR STE A
SPARTANBURG, SC 29307-1018
Phone number: 864-542-8980
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