Organization · Type 2 NPI

Mary Black Physicians Group LLC

Rural Health Clinic/Center · Union, SC

NPI number 1639254683 Active

Practice location

429 E Main St
Union, SC 29379-1902

Fax (864) 427-8826

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

7 other providers at this address

Family Practice Associates, PAFamily Medicine Physician Union, SC NPI 1467473728
Mary Black Physicians Group, LLCFamily Medicine Physician Union, SC NPI 1740425305
Spartanburg Medical CenterFamily Medicine Physician Union, SC NPI 1881079093
Union Hospital DistrictFamily Medicine Physician Union, SC NPI 1255570669
Union Hospital DistrictRural Health Clinic/Center Union, SC NPI 1346576360
Zilris, Inc.Addiction (Substance Use Disorder) Counselor Union, SC NPI 1336615095
Robert M. Wentz, MDFamily Medicine Physician Union, SC NPI 1346261690

Other rural health clinic/center providers in Union

See all in Union →

NPI record

NPI: 1639254683
Entity type: Organization (Type 2)
Issued: Oct 26, 2006
Last updated: Aug 11, 2008
Status: Active
Subpart: Yes of Mary Black Physicians Group LLC

Other names

<unavail>
Family Practice Associates PA · doing business as

Authorized official

Debbie T Brewer
Director
(877) 892-9813

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 1639254683

Mary Black Physicians Group LLC's National Provider Identifier is 1639254683, issued on Oct 26, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Union, SC. The record was last updated on Aug 11, 2008.