| Mary Black Hlth Sys, Llc | |
|
1690 Skylyn Dr Ste 210 Spartanburg SC 29307-1075 | |
| (864) 585-7887 | |
| Not Available |
| Full Name | Mary Black Hlth Sys, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1690 Skylyn Dr Ste 210, 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 Hlth Sys, Llc Po Box 406757 Atlanta GA 30384-6757 Ph: (864) 253-8080 | Mary Black Hlth Sys, Llc 1690 Skylyn Dr Ste 210 Spartanburg SC 29307-1075 Ph: (864) 585-7887 |
| NPI Number | 1760493985 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 08/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760493985 | NPI | - | NPPES |
| GP1630 | Medicaid | SC |
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