Mary Black Physicians Group LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MARY BLACK PHYSICIANS GROUP LLC

Doing business as

Mary Black Minor Care Center

Practice address

2995 Reidville Rd
Spartanburg, SC 29301-5628

Phone

(864) 587-3000

NPI assigned

Dec 3, 2008

Last updated

Feb 23, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

MARY BLACK PHYSICIANS GROUP LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debbie Brewer

Title

Director

Phone

(877) 892-9813

Specialties & licenses 1

Addresses

Other names 1

• Mary Black Minor Care Center Doing business as

Part of

Mary Black Physicians Group

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1053556191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 REIDVILLE RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015628",
            "telephone_number": "864-587-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 REIDVILLE RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015628",
            "telephone_number": "864-587-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY BLACK PHYSICIANS GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARY BLACK PHYSICIANS GROUP LLC",
        "enumeration_date": "2008-12-03",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-892-9813"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Black Minor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Black Health System, LLC (Weir Ear Nose & Throat)
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• Mary Black HLTH Sys, LLC (Carolinas Family Physicians)
• Mary Black Physician Services, LLC (Steadman Hawkins Clinic of the Carolinas)
• Mary Black Physicians Group LLC
• Mary Black Physicians Group LLC
• Mary Black Physicians Group LLC
• Mary Black Physicians Group LLC
• Mary Black Physicians Group LLC
• Mary Black Physicians Group LLC

• Durable Medical Equipment & Medical Supplies in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.