| Mary Black Gastroenterology Associates | |
|
11 Doctors Park Dr Spartanburg SC 29307-1024 | |
| (864) 342-1435 | |
| Not Available |
| Full Name | Mary Black Gastroenterology Associates |
|---|---|
| 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 Gastroenterology Associates 11 Doctors Park Dr Spartanburg SC 29307-1024 Ph: (864) 342-1435 | Mary Black Gastroenterology Associates 11 Doctors Park Dr Spartanburg SC 29307-1024 Ph: (864) 342-1435 |
| NPI Number | 1689697807 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689697807 | NPI | - | NPPES |
| GP1874 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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