Organization · Type 2 NPI

Mary Black Physicians Group, LLC

Family Medicine Physician · Cowpens, SC

NPI number 1396980876 Active

Practice location

5470 N Main St
Cowpens, SC 29330-9705

Call (864) 463-3286 Map

Mailing address

PO Box 277827
Atlanta, GA 30384-7827

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None 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.

2 other providers at this address

Other family medicine physician providers in Cowpens

Mary Black Health System LLCFamily Medicine Physician Cowpens, SC NPI 1326061540

See all in Cowpens →

NPI record

NPI: 1396980876
Entity type: Organization (Type 2)
Issued: Dec 11, 2008
Last updated: Dec 11, 2008
Status: Active
Subpart: Yes of Mary Black Physicians Group, LLC

Other names

<unavail>
Foothills Family- Cowpens · other name

Authorized official

Debbie Brewer
Director Provider Enrollment
(615) 465-7626

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 1396980876

Mary Black Physicians Group, LLC's National Provider Identifier is 1396980876, issued on Dec 11, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Cowpens, SC. The record was last updated on Dec 11, 2008.