Mary Black Physicians Group Llc is a primary clinic (Family Medicine) in Spartanburg, South Carolina. The current practice location for Mary Black Physicians Group Llc is 130 Dillon Dr, Spartanburg, South Carolina. For appointments, you can reach them via phone at
(864) 585-2027. The mailing address for Mary Black Physicians Group Llc is Po Box 689022, Provider Enrollment Department, Franklin, Tennessee and phone number is (615) 465-7000.
Mary Black Physicians Group Llc is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1295823045. 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) 585-2027.
Primary Care Clinic Profile
Full Name | Mary Black Physicians Group Llc |
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Speciality | Family Medicine |
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Location | 130 Dillon Dr, Spartanburg, South Carolina |
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Authorized Official Name and Position | Sophia L Arwood (DIRECTOR) |
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Authorized Official Contact | 6156286038 |
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Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary Black Physicians Group Llc Po Box 689022 Provider Enrollment Department Franklin TN 37068-9022 Ph: (615) 465-7000 | Mary Black Physicians Group Llc 130 Dillon Dr Spartanburg SC 29307-1018 Ph: (864) 585-2027 |
NPI Details:
NPI Number | 1295823045 |
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Provider Enumeration Date | 10/10/2006 |
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Last Update Date | 01/22/2014 |
Medical Identifiers
Medical identifiers for Mary Black Physicians Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295823045 | NPI | - | NPPES |
GP4690 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | (* (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 |
208D00000X | General Practice | (* (Not Available)) | Secondary |
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