MARY BLACK PHYSICIAN SERVICES, LLC

SPARTANBURG, SC
NPI1568655587
Doing Business AsSTEADMAN HAWKINS CLINIC OF THE CAROLINAS
Entity TypeOrganization
Authorized ContactDEBBIE BREWER
Director Of Provider Enrollment
615-465-7000
Organization Subpart ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2007-08-22
Last Update Date2008-08-13
Business Address
MARY BLACK PHYSICIAN SERVICES, LLC
1650 SKYLYN DR SUITE 200
SPARTANBURG, SC 29307-1047
Phone number: 864-216-4640
Mailing Address
MARY BLACK PHYSICIAN SERVICES, LLC
4000 MERIDIAN BLVD
FRANKLIN, TN 37067-6325
Phone number: