NPI 1053556522

Mary Black Physicians Group, LLC

Organisation Family Medicine Physician Spartanburg, SC

Practice location

Address: 1250 John B White Sr Blvd, Spartanburg, SC 29306-3929
Phone: (864) 576-9201
Mailing address: PO Box 277827, Atlanta, GA 30384-7827

Authorised official

Name: Debbie Brewer
Title: Director Provider Enrollment
Phone: (615) 465-7626

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in South Carolina →

Registry record

NPI: 1053556522
Entity type: Organization
NPI issued: 11 Dec 2008
Record last updated: 11 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.