Organization · Type 2 NPI

Mary Black Health System LLC

Family Medicine Physician · Duncan, SC

NPI number 1861415085 Active

Practice location

500 Squires Pointe
Duncan, SC 29334

Call (864) 433-8980 Map

Mailing address

PO Box 406757
Atlanta, GA 30384-6757

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.

Other family medicine physician providers in Duncan

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NPI record

NPI: 1861415085
Entity type: Organization (Type 2)
Issued: Jul 26, 2006
Last updated: Jun 25, 2008
Status: Active
Subpart: Yes of Mary Black Health System LLC

Other names

<unavail>
Squires Pointe Medical Park · 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 1861415085

Mary Black Health System LLC's National Provider Identifier is 1861415085, issued on Jul 26, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Duncan, SC. The record was last updated on Jun 25, 2008.