Organization · Type 2 NPI

Mary Black Health System LLC

Family Medicine Physician · Spartanburg, SC

NPI number 1982612925 Active

Practice location

2995 Reidville Rd Ste 100
Spartanburg, SC 29301-5600

Call (864) 587-3000 Map

Fax (864) 587-3019

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
Pediatrics Physician	208000000X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	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.

5 other providers at this address

Other family medicine physician providers in Spartanburg

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NPI record

NPI: 1982612925
Entity type: Organization (Type 2)
Issued: Aug 4, 2006
Last updated: Jun 25, 2008
Status: Active
Subpart: Yes of Mary Black Health System LLC

Other names

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Westside Urgent Care · doing business as

Authorized official

Debbie T Brewer
Director of Provider Enrollmetn
(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 1982612925

Mary Black Health System LLC's National Provider Identifier is 1982612925, issued on Aug 4, 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.