MARY BLACK PHYSICIANS GROUP, LLC

SPARTANBURG, SC
NPI1962647438
Other NameCAROLINA FAMILY PHYSICIANS
Entity TypeOrganization
Authorized ContactDEBBIE BREWER
Director Provider Enrollmnet
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
1690 SKYLYN DR SUITE 210
SPARTANBURG, SC 29307-1022
Phone number: 864-585-7887
Mailing Address
MARY BLACK PHYSICIANS GROUP, LLC
PO BOX 277827
ATLANTA, GA 30384-7827
Phone number: 864-253-8080