| Mary Black Health System Llc | |
|
11 Doctors Park Dr Spartanburg SC 29307-1024 | |
| (864) 342-1435 | |
| Not Available |
| Full Name | Mary Black Health System Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 11 Doctors Park 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 11 Doctors Park Dr Spartanburg SC 29307-1024 Ph: (864) 342-1435 | Mary Black Health System Llc 11 Doctors Park Dr Spartanburg SC 29307-1024 Ph: (864) 342-1435 |
| NPI Number | 1689697807 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689697807 | NPI | - | NPPES |
| GP1874 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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Spartanburg Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Heywood Ave, Suite 200, Spartanburg, SC 29302 Phone: 864-573-9595 Fax: 864-585-3752 | |
Mary Black Physicians Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 Skylyn Dr, Suite 300, Spartanburg, SC 29307 Phone: 864-342-4000 | |
Healogics Specialty Physicians Of South Carolina, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 Phone: 904-446-3825 | |
Premise Health Of South Carolina Medical, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1785 New Cut Rd, Spartanburg, SC 29303 Phone: 864-599-3050 Fax: 864-599-3051 | |
Proactive Md Sc,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2273 Hayne St., Spartanburg, SC 29301 Phone: 864-541-0555 Fax: 864-345-7898 | |
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 |