MARY BLACK PHYSICIANS GROUP, LLC

SPARTANBURG, SC
NPI1982849519
Other NameFOOTHILLS FAMILY-WESTGATE
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
170 CAMELOT DR A
SPARTANBURG, SC 29301-2650
Phone number: 864-576-1614
Mailing Address
MARY BLACK PHYSICIANS GROUP, LLC
PO BOX 277827
ATLANTA, GA 30384-7827
Phone number: 864-253-8080