Mary Black Physician Services Llc

Nurse Practitioner Clinic



 170 Ridgeview Center Dr, Duncan
    South Carolina, 29334-9635

 864-573-3124    864-582-5188   Maps & Directions
Mary Black Physician Services Llc is a Orthopedic Clinic in Duncan, South Carolina. It is situated at 170 Ridgeview Center Dr, Duncan and its contact number is 864-573-3124. The authorized person of Mary Black Physician Services Llc is Tammy V Mccollum who is Business Office Director of the clinic and their contact number is 864-253-8063.
Mary Black Physician Services Llc Clinic has orthopaedic surgeons who are trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Complete Profile:
Mary Black Physician Services 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: Orthopedic Surgery
Clinic Address:170 Ridgeview Center Dr, Duncan,
South Carolina, 29334-9635
Phone:864-573-3124
Fax:864-582-5188
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: Tammy V Mccollum
Position: Business Office Director
Contact Number: 864-253-8063
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 Physician Services Llc Clinic are as mentioned below.
NPI Number: 1811950645
NPI Enumeration Date: 11 Apr, 2006
NPI Last Update On: 20 Jun, 2018
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 Physician Services Llc are as mentioned below.
SpecializationLicense NumberStateStatus
Nurse Practitioner South CarolinaPrimary
Orthopaedic Surgery Secondary
Physician Assistant South CarolinaSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
800572901OtherTax Id
GP4319MedicaidSouth Carolina
GP4168MedicaidSouth Carolina
GP4169MedicaidSouth Carolina
GP4353MedicaidSouth 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 Physician Services Llc
145b Dillon Dr,
Spartanburg, South Carolina
Zip: 29307-1017
Phone Number: 865-253-8063
Fax Number: 864-582-5188
Patients can reach Mary Black Physician Services Llc at 170 Ridgeview Center Dr, Duncan, South Carolina or can call to book an appointment on 864-573-3124.
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.