Organization · Type 2 NPI

Mary Black Physicians Group, LLC

Family Nurse Practitioner · Landrum, SC

NPI number 1952546434 Active

Practice location

108 W Rutherford St
Landrum, SC 29356-1526

Call (864) 457-2363 Map

Mailing address

PO Box 277827
Atlanta, GA 30384-7827

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

7 other providers at this address

King Family Chiropractic, PCChiropractor Landrum, SC NPI 1871355073
Landrum Family Health Care LLCRural Health Clinic/Center Landrum, SC NPI 1831323831
Landrum Family Healthcare Center, PARural Health Clinic/Center Landrum, SC NPI 1255526364
Mary Black Physicians Group LLCRural Health Clinic/Center Landrum, SC NPI 1457555120
Daniel S. King, DCChiropractor Landrum, SC NPI 1831608058
Joanne Louise Cahill, FNPFamily Nurse Practitioner Landrum, SC NPI 1689755118
Linda Marie Woodfin-Hightower, FNPFamily Nurse Practitioner Landrum, SC NPI 1679501621

NPI record

NPI: 1952546434
Entity type: Organization (Type 2)
Issued: Dec 11, 2008
Last updated: Dec 11, 2008
Status: Active
Subpart: Yes of Mary Black Physicians Group, LLC

Other names

<unavail>
Mary Black Family Medicine-Landrum · other name

Authorized official

Debbie Brewer
Director Provider Enrollment
(615) 465-7626

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 1952546434

Mary Black Physicians Group, LLC's National Provider Identifier is 1952546434, issued on Dec 11, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Landrum, SC. The record was last updated on Dec 11, 2008.