Mary M Varn, MD, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

16260 Issued in SC

Legal business name

MARY M VARN, MD, LLC

Practice address

233 E Blackstock Rd Ste J
Spartanburg, SC 29301-2652

Phone

(864) 587-9872

Fax

(864) 587-9892

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mary M Varn, MD

Title

Owner

Phone

(864) 587-9872

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1134277882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E BLACKSTOCK RD STE J",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012652",
            "telephone_number": "864-587-9872",
            "fax_number": "864-587-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E BLACKSTOCK RD STE J",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012652",
            "telephone_number": "864-587-9872",
            "fax_number": "864-587-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY M VARN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "VARN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-587-9872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "SC",
            "license": "16260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162601",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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
• Jill Ann Mason-Nguyen, CRNA
• Britany Nicole Mason
• Charles Mason, PA
• Kathryn Massengill, PA-C
• Massive Medical Staffing LLC

• Medical Specialty Clinic/Center in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Medical Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.