Organization · Type 2 NPI

Mary Black Physician Services LLC

Nurse Practitioner · Duncan, SC

NPI number 1811950645 Active

Practice location

170 Ridgeview Center Dr
Duncan, SC 29334-9635

Fax (864) 582-5188

Mailing address

145B Dillon Dr
Spartanburg, SC 29307-1017

Other practice locations

  • 724 Hyatt St, Ste. F, Gaffney, SC 29341-2630 · (864) 488-2507

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

About NPI 1811950645

Mary Black Physician Services LLC's National Provider Identifier is 1811950645, issued on Apr 11, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Duncan, SC. The record was last updated on Jun 20, 2018.