Organization · Type 2 NPI

Mary Black Health System LLC

Diagnostic Radiology Physician · Gaffney, SC

NPI number 1609983287 Active

Practice location

724 Hyatt St Ste 2-D
Gaffney, SC 29341-2630

Call (864) 489-5001 Map

Mailing address

138 Dillon Dr Ste A
Spartanburg, SC 29307-1018

Specialties and licenses

Taxonomy	Code	License
Diagnostic Radiology Physician Primary	2085R0202X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

NPI record

NPI: 1609983287
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

<unavail>
Peachview Radiology Center · 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 1609983287

Mary Black Health System LLC's National Provider Identifier is 1609983287, issued on Aug 23, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Gaffney, SC. The record was last updated on Aug 14, 2007.