| Mary Black Health System, Llc | |
|
1250 John B White Sr Blvd Spartanburg SC 29306-3929 | |
| (864) 576-9201 | |
| (864) 576-6584 |
| Full Name | Mary Black Health System, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1250 John B White Sr Blvd, Spartanburg, South Carolina |
| Authorized Official Name and Position | Rebecca Hurley (SENIOR VICE PRESIDETN) |
| 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 Po Box 406757 Atlanta GA 30384-6757 Ph: (864) 253-8063 | Mary Black Health System, Llc 1250 John B White Sr Blvd Spartanburg SC 29306-3929 Ph: (864) 576-9201 |
| NPI Number | 1710094388 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710094388 | NPI | - | NPPES |
| GP1771 | Medicaid | SC |
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Mary Black Physicians Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 John B White Sr Blvd, Spartanburg, SC 29306 Phone: 864-576-9201 |