| Mary Black Physicians Group, Llc | |
|
429 E Main St Union SC 29379-1902 | |
| (864) 427-9045 | |
| Not Available |
| Full Name | Mary Black Physicians Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 429 E Main St, Union, South Carolina |
| Authorized Official Name and Position | Debbie Brewer (DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Contact | 6154657626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Black Physicians Group, Llc Po Box 277827 Atlanta GA 30384-7827 Ph: (864) 253-8080 | Mary Black Physicians Group, Llc 429 E Main St Union SC 29379-1902 Ph: (864) 427-9045 |
| NPI Number | 1740425305 |
|---|---|
| Provider Enumeration Date | 12/11/2008 |
| Last Update Date | 12/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740425305 | NPI | - | NPPES |
| GP4766 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Center For Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 W Main St, Union, SC 29379 Phone: 864-429-8029 Fax: 864-429-3515 | |
Primary Care Of Union Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 327 W South St, Union, SC 29379 Phone: 864-441-0802 Fax: 864-441-0801 | |
Carolina Internal Medicine Of Union, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Thompson Blvd, Union, SC 29379 Phone: 864-427-9311 Fax: 864-427-9309 | |
Union Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 W Main St, Union, SC 29379 Phone: 864-429-8029 | |
Union Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1201 Furman L Fendley Hwy Ste A, Union, SC 29379 Phone: 864-429-8029 Fax: 864-429-3515 | |
Union Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 429 E Main St, Union, SC 29379 Phone: 864-427-9045 Fax: 864-427-8826 | |
Mary Black Physicians Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Thompson Blvd, Union, SC 29379 Phone: 864-427-9311 Fax: 864-427-9319 |