| Mary Black Physicians Group Llc | |
|
108 W Rutherford St Landrum SC 29356-1526 | |
| (834) 475-4703 | |
| (864) 457-2736 |
| Full Name | Mary Black Physicians Group Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 108 W Rutherford St, Landrum, 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 108 W Rutherford St Landrum SC 29356-1526 Ph: (834) 475-4703 | Mary Black Physicians Group Llc 108 W Rutherford St Landrum SC 29356-1526 Ph: (834) 475-4703 |
| NPI Number | 1457555120 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457555120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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