| Mary Black Health System, Llc | |
|
130 Dillon Dr Spartanburg SC 29307-1018 | |
| (864) 585-2027 | |
| Not Available |
| Full Name | Mary Black Health System, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 130 Dillon Dr, Spartanburg, South Carolina |
| Authorized Official Name and Position | Rebecca Hurley (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 2144733993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Black Health System, Llc 130 Dillon Dr Spartanburg SC 29307-1018 Ph: (864) 585-2027 | Mary Black Health System, Llc 130 Dillon Dr Spartanburg SC 29307-1018 Ph: (864) 585-2027 |
| NPI Number | 1770506990 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 05/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770506990 | NPI | - | NPPES |
| GP1670 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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