Organization · Type 2 NPI

Mary Black Health System LLC

Maternal & Fetal Medicine Physician · Spartanburg, SC

NPI number 1073620654 Active

Practice location

1686 Skylyn Dr Ste 102
Spartanburg, SC 29307-1058

Call (864) 573-3272 Map

Mailing address

138 Dillon Dr Ste A
Spartanburg, SC 29307-1018

Specialties and licenses

Taxonomy	Code	License
Maternal & Fetal Medicine Physician Primary	207VM0101X	None listed

Maternal & Fetal Medicine Physician: An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated preg…

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NPI record

NPI: 1073620654
Entity type: Organization (Type 2)
Issued: Aug 23, 2006
Last updated: Aug 14, 2007
Status: Active
Subpart: Yes of Mary Black Health System LLC

Other names

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Mary Black Maternal-Fetal Medicine · doing business as

Authorized official

Debbie Brewer
Director of Provider Enrollment
(615) 465-7000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073620654

Mary Black Health System LLC's National Provider Identifier is 1073620654, issued on Aug 23, 2006. The primary taxonomy on file is Maternal & Fetal Medicine Physician (207VM0101X), and the practice location is in Spartanburg, SC. The record was last updated on Aug 14, 2007.