MARY BLACK PHYSICIANS GROUP, LLC

UNION, SC
NPI1740425305
Other NameFAMILY PRACTICE ASSOCIATES
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
429 E MAIN ST
UNION, SC 29379-1902
Phone number: 864-427-9045
Mailing Address
MARY BLACK PHYSICIANS GROUP, LLC
PO BOX 277827
ATLANTA, GA 30384-7827
Phone number: 864-253-8080