Mary Black Health System Llc is a Family Medicine Clinic in Spartanburg, South Carolina. It is situated at 1690 Skylyn Dr, Suite 300, Spartanburg and its contact number is 864-582-1201. The authorized person of Mary Black Health System Llc is Debbie Brewer
who is Director Of Provider Enrollment of the clinic and their contact number is 615-465-7000.
Complete Clinic Profile:
Mary Black Health System Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Specialization:
Family Medicine
Clinic Address:
1690 Skylyn Dr, Suite 300, Spartanburg, South Carolina, 29307-1022
Phone:
864-582-1201
Fax:
864-596-7409
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Debbie Brewer
Position:
Director Of Provider Enrollment
Contact Number:
615-465-7000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mary Black Health System Llc Clinic are as mentioned below.
NPI Number:
1578507174
NPI Enumeration Date:
15 Jun, 2006
NPI Last Update On:
16 Jul, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Black Health System Llc are as mentioned below.
Specialization
License Number
State
Status
Family Medicine
Primary
Internal Medicine
Secondary
Gastroenterology
Secondary
Infectious Disease
Secondary
Obstetrics & Gynecology
Secondary
Orthopaedic Surgery
Secondary
Otolaryngology
Secondary
Pediatrics
Secondary
Diagnostic Radiology
Secondary
Surgery
Secondary
Surgery of the Hand
Secondary
Urology
Secondary
Colon & Rectal Surgery
Secondary
Podiatrist
Secondary
Radiology, Mammography
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
GP1325
Medicaid
South Carolina
GP4572
Medicaid
South Carolina
CE9631
Other
South Carolina
Medicare Railroad
GP1610
Medicaid
South Carolina
GP1628
Medicaid
South Carolina
GP4573
Medicaid
South Carolina
GP4628
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mary Black Health System Llc Po Box 406757, Atlanta, Georgia
Zip:
30384-6757
Phone Number:
864-253-8063
Patients can reach Mary Black Health System Llc at 1690 Skylyn Dr, Suite 300, Spartanburg, South Carolina or can call to book an appointment on 864-582-1201. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
Family Medicine: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.