MARY BLACK HEALTH SYSTEM, LLC

SPARTANBURG, SC
NPI1871500843
Doing Business AsPIEDMONT INTERNAL MEDICINE
Entity TypeOrganization
Authorized ContactDEBBIE BREWER
Director Of Provider Enrollment
615-465-7000
Organization Subpart ?Yes
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
363A00000X Physician Assistant
363L00000X Nurse Practitioner
Enumeration Date2006-08-02
Last Update Date2007-08-14
Business Address
MARY BLACK HEALTH SYSTEM, LLC
145B DILLON DR
SPARTANBURG, SC 29307-1017
Phone number: 864-582-7892
Mailing Address
MARY BLACK HEALTH SYSTEM, LLC
138 DILLON DR STE A
SPARTANBURG, SC 29307-1018
Phone number: 864-542-8980