Mary Black Health System Llc is a primary clinic (Family Medicine) in Spartanburg, South Carolina. The current practice location for Mary Black Health System Llc is 1690 Skylyn Dr, Suite 300, Spartanburg, South Carolina. For appointments, you can reach them via phone at
(864) 582-1201. The mailing address for Mary Black Health System Llc is Po Box 406757, Atlanta, Georgia and phone number is (864) 253-8063.
Mary Black Health System Llc is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1578507174. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(864) 582-1201.
Primary Care Clinic Profile
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 and Practice Location
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 Details:
NPI Number | 1578507174 |
---|
Provider Enumeration Date | 06/15/2006 |
---|
Last Update Date | 07/16/2008 |
Medical Identifiers
Medical identifiers for Mary Black Health System Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
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 | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Secondary |
207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
207X00000X | Orthopaedic Surgery | (* (Not Available)) | Secondary |
207Y00000X | Otolaryngology | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | (* (Not Available)) | Secondary |
208600000X | Surgery | (* (Not Available)) | Secondary |
2086S0105X | Surgery - Surgery Of The Hand | (* (Not Available)) | Secondary |
208800000X | Urology | (* (Not Available)) | Secondary |
208C00000X | Colon & Rectal Surgery | (* (Not Available)) | Secondary |
213E00000X | Podiatrist | (* (Not Available)) | Secondary |
261QR0206X | Clinic/center - Radiology, Mammography | (* (Not Available)) | Secondary |
Reviews and Comments