Organization · Type 2 NPI

Mary Black Health System, LLC

Family Medicine Physician · Spartanburg, SC

NPI number 1710094388 Active

Practice location

1250 John B White Sr Blvd
Spartanburg, SC 29306-3929

Call (864) 576-9201 Map

Fax (864) 576-6584

Mailing address

PO Box 406757
Atlanta, GA 30384-6757

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Family Nurse Practitioner	363LF0000X	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.

3 other providers at this address

Other family medicine physician providers in Spartanburg

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NPI record

NPI: 1710094388
Entity type: Organization (Type 2)
Issued: Aug 23, 2006
Last updated: Jun 25, 2008
Status: Active
Subpart: Yes of Mary Black Health System, LLC

Other names

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Family Physicains of Spartanburg · doing business as

Authorized official

Rebecca Hurley
Senior Vice Presidetn
(214) 473-3993

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 1710094388

Mary Black Health System, LLC's National Provider Identifier is 1710094388, issued on Aug 23, 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 Jun 25, 2008.