Organization · Type 2 NPI

Mary Black Physicians Group LLC

Rural Health Clinic/Center · Union, SC

NPI number 1962584938 Active

Practice location

1005 Thompson Blvd
Union, SC 29379-7409

Fax (864) 427-9309

Specialties and licenses

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

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

4 other providers at this address

Carolina Internal Medicine of Union, LLCInternal Medicine Physician Union, SC NPI 1083667570
Mary Black Physicians Group, LLCInternal Medicine Physician Union, SC NPI 1326283938
Upstate Lung & Critical Care Specialists, PCPulmonary Disease Physician Union, SC NPI 1851531685
Sherry L. PhillipsRegistered Nurse Union, SC NPI 1619566957

Other rural health clinic/center providers in Union

See all in Union →

NPI record

NPI: 1962584938
Entity type: Organization (Type 2)
Issued: Oct 19, 2006
Last updated: Aug 12, 2008
Status: Active
Subpart: Yes of Mary Black Physicians Group LLC

Other names

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Carolina Internal Medicine of Union · 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 1962584938

Mary Black Physicians Group LLC's National Provider Identifier is 1962584938, issued on Oct 19, 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 12, 2008.