| Mary Black Physicians Group, Llc | |
|
500 Squire's Pointe Duncan SC 29334-8867 | |
| (864) 433-8980 | |
| (864) 433-8982 |
| Full Name | Mary Black Physicians Group, Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 500 Squire's Pointe, Duncan, South Carolina |
| Authorized Official Name and Position | V Karen Flinn (VP) |
| Authorized Official Contact | 2144733773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Black Physicians Group, Llc 500 Squire's Pointe Duncan SC 29334-8867 Ph: (864) 433-8980 | Mary Black Physicians Group, Llc 500 Squire's Pointe Duncan SC 29334-8867 Ph: (864) 433-8980 |
| NPI Number | 1295819415 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295819415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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