| Mary Black Health System Llc | |
|
1690 Skylyn Dr Suite 300 Spartanburg SC 29307-1022 | |
| (864) 582-1201 | |
| (864) 596-7409 |
| Full Name | Mary Black Health System Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1690 Skylyn Dr, Spartanburg, 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 Po Box 406757 Atlanta GA 30384-6757 Ph: (864) 253-8063 | Mary Black Health System Llc 1690 Skylyn Dr Suite 300 Spartanburg SC 29307-1022 Ph: (864) 582-1201 |
| NPI Number | 1578507174 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578507174 | NPI | - | NPPES |
| GP1325 | Medicaid | SC | |
| GP4572 | Medicaid | SC | |
| CE9631 | Other | SC | MEDICARE RAILROAD |
| GP1610 | Medicaid | SC | |
| GP1628 | Medicaid | SC | |
| GP4573 | Medicaid | SC | |
| GP4628 | Medicaid | SC |
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Medical Group Of The Carolinas - Family Medicine - Converse Heights Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Heywood Ave, Suite 200, Spartanburg, SC 29302 Phone: 864-573-9595 Fax: 864-585-3752 | |
Piedmont Internal Medicine-east Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 Skylyn Dr, Suite 300, Spartanburg, SC 29307 Phone: 864-342-4000 | |
Upstate Wound Care By Healogics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 Phone: 904-446-3825 | |
Michelin Family Health Center Spartanburg 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 Tindall Spartanburg Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2273 Hayne St., Spartanburg, SC 29301 Phone: 864-541-0555 Fax: 864-345-7898 | |
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