Mary Black Physicians Group LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MARY BLACK PHYSICIANS GROUP LLC

Practice address

702 S Alabama Ave
Chesnee, SC 29323-1706

Phone

(864) 703-1419

NPI assigned

Apr 24, 2007

Last updated

Jun 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

V Karen Flinn

Title

VP

Phone

(214) 473-3773

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1972721728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 S ALABAMA AVE",
            "address_2": "PO BOX 558",
            "city": "CHESNEE",
            "state": "SC",
            "postal_code": "293231706",
            "telephone_number": "864-703-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 S ALABAMA AVE",
            "city": "CHESNEE",
            "state": "SC",
            "postal_code": "293231706",
            "telephone_number": "864-703-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY BLACK PHYSICIANS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "FLINN",
        "authorized_official_first_name": "V",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "214-473-3773"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie R Hill
• Laura Fisher Hodge, CCC-SLP
• Rianna Sonny Kondaveeti, D.O
• Joseph Michael Lewis, PHARM.D.
• Mary Black Health System LLC (Chesnee Medical Associates)
• Mary Black Physicians Group, LLC
• Mary Black Physicians Group, LLC
• Benjamin Ross McBurney, DC
• Harley Ann McClain
• Sarah McDonald McGehee, OTR/L

• Durable Medical Equipment & Medical Supplies in Chesnee, SC
• Providers in Chesnee, 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 Jun 12, 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.