Black, Mary Joan

Black, Mary Joan is an individual health care provider with primary practice located at 1330 Boiling Springs Rd Suite 1600, Spartanburg SC 29303-4201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Black, Mary Joan can be contacted via phone (864) 582-6396.

Contact Information

Primary practice address
1330 Boiling Springs Rd Suite 1600 Spartanburg SC 29303-4201
Phone: (864) 582-6396
Fax: (864) 582-1608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 17900 South Carolina

Profile Details

NPI number 1386655983
LBN Legal business name Black, Mary Joan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Aug 17th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386655983 NPPES
South Carolina MEDICAID T19192

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