| Mary Black Health System Llc | |
|
391 Glenn Springs Rd Pacolet SC 29372-2417 | |
| (864) 474-3013 | |
| Not Available |
| Full Name | Mary Black Health System Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 391 Glenn Springs Rd, Pacolet, South Carolina |
| Authorized Official Name and Position | Debbie Brewer (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Contact | 6154657000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Black Health System Llc 391 Glenn Springs Rd Pacolet SC 29372-2417 Ph: (864) 474-3013 | Mary Black Health System Llc 391 Glenn Springs Rd Pacolet SC 29372-2417 Ph: (864) 474-3013 |
| NPI Number | 1629090568 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 08/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629090568 | NPI | - | NPPES |
| GP1607 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Spartanburg Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7221 S Pine St, Pacolet, SC 29372 Phone: 864-474-1528 Fax: 864-474-1049 | |
Emary Black Physicians Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 391 Glenn Springs Rd, Pacolet, SC 29372 Phone: 864-474-3013 | |
Mary Black Physicians Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 391 Glenn Springs Rd, Pacolet, SC 29372 Phone: 864-703-1414 Fax: 864-703-1419 |