NPI 1104061688

Mary Black Physicians Group, LLC

Organisation Emergency Medical Services (Emergency Medicine) Physician Spartanburg, SC

Practice location

Address: 2995 Reidville Rd, Spartanburg, SC 29301-5628
Phone: (864) 587-3000
Mailing address: PO Box 277827, Atlanta, GA 30384-7827

Authorised official

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

Registered specialties

Emergency Medical Services (Emergency Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207PE0004X

Other Emergency Medicine providers in South Carolina →

Registry record

NPI: 1104061688
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.