MARY BLACK PHYSICIANS GROUP, LLC

DUNCAN, SC
NPI1952546426
Other NameMIDDLE TYGER FAMILY MEDICINE
Entity TypeOrganization
Authorized ContactDEBBIE BREWER
Director Provider Enrollment
864-253-8080
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2008-12-11
Last Update Date2008-12-11
Business Address
MARY BLACK PHYSICIANS GROUP, LLC
500 SQUIRES PT SUITE B
DUNCAN, SC 29334-8867
Phone number: 864-433-8980
Mailing Address
MARY BLACK PHYSICIANS GROUP, LLC
PO BOX 277827
ATLANTA, GA 30384-7827
Phone number: 864-253-8080