MARY BLACK HEALTH SYSTEM LLC

GAFFNEY, SC
NPI1801900865
Doing Business AsPEACHVIEW EXTENDED CARE
Entity TypeOrganization
Authorized ContactDEBBIE BREWER
Director Of Provider Enrollment
615-465-7000
Organization Subpart ?Yes
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207Q00000X Family Medicine
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2006-08-18
Last Update Date2007-08-14
Business Address
MARY BLACK HEALTH SYSTEM LLC
724 HYATT ST STE D
GAFFNEY, SC 29341-2630
Phone number: 864-489-5001
Mailing Address
MARY BLACK HEALTH SYSTEM LLC
138 DILLON DR STE A
SPARTANBURG, SC 29307-1018
Phone number: 864-542-8980