NPI 1053511766
Mary Black Physicians Group LLC
Practice location
- Address
- 2995 Reidville Rd STE 290, Spartanburg, SC 29301-5628
- Phone
- (864) 585-3456
- Fax
- (864) 585-3209
- Mailing address
- PO Box 277827, Atlanta, GA 30384-7827
Authorised official
- Name
- V Karen Flinn
- Title
- Vice President
- Phone
- (214) 473-3773
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1053511766
- Entity type
- Organization
- NPI issued
- 20 Jul 2007
- Record last updated
- 4 Dec 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.