MARY BLACK PHYSICIANS GROUP, LLC

SPARTANBURG, SC
NPI1568607190
Other NameMARY BLACK GASTROENTEROLOGY ASSOCIATES
Entity TypeOrganization
Authorized ContactDEBBIE BREWER
Director Provider Enrollment
615-465-7626
Organization Subpart ?Yes
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
Enumeration Date2008-12-11
Last Update Date2009-01-08
Business Address
MARY BLACK PHYSICIANS GROUP, LLC
11 DOCTORS PARK DR SUITE 240
SPARTANBURG, SC 29307-1024
Phone number: 864-573-3593
Mailing Address
MARY BLACK PHYSICIANS GROUP, LLC
PO BOX 277827
ATLANTA, GA 30384-7827
Phone number: 864-253-8080