Organization · Type 2 NPI

Mary Black Physicians Group LLC

Family Medicine Physician · Spartanburg, SC

NPI number 1295823045 Active

Practice location

130 Dillon Dr
Spartanburg, SC 29307-1018

Fax (864) 585-2488

Mailing address

PO Box 689022, Provider Enrollment Department
Franklin, TN 37068-9022

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Endocrinology, Diabetes & Metabolism Physician 207RE0101XNone listed
Gastroenterology Physician 207RG0100XNone listed
Infectious Disease Physician 207RI0200XNone listed
Otolaryngology Physician 207Y00000XNone listed
Pediatrics Physician 208000000XNone listed
Diagnostic Radiology Physician 2085R0202XNone listed
Surgery Physician 208600000XNone listed
Surgery of the Hand (Surgery) Physician 2086S0105XNone listed
Urology Physician 208800000XNone listed
Colon & Rectal Surgery Physician 208C00000XNone listed
General Practice Physician 208D00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6 other providers at this address

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About NPI 1295823045

Mary Black Physicians Group LLC's National Provider Identifier is 1295823045, issued on Oct 10, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Spartanburg, SC. The record was last updated on Jan 22, 2014.