MARY BLACK HEALTH SYSTEM, LLC

SPARTANBURG, SC
NPI1588679922
Doing Business AsPEDIATRIC ASSOCIATES
Entity TypeOrganization
Authorized ContactDEBBIE BREWER
Director Of Provider Enrollment
615-465-7000
Organization Subpart ?Yes
Primary Taxonomy208000000X Pediatrics
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2006-07-31
Last Update Date2007-08-14
Business Address
MARY BLACK HEALTH SYSTEM, LLC
147 OAKWOOD AVE
SPARTANBURG, SC 29302-1207
Phone number: 864-582-8135
Mailing Address
MARY BLACK HEALTH SYSTEM, LLC
138 DILLON DR STE A
SPARTANBURG, SC 29307-1018
Phone number: 864-542-8980