Mary Black Maternal-Fetal Medicine

LBN: Mary Black Health System Llc
Mary Black Maternal-Fetal Medicine is an health care organization with primary practice located at 1686 Skylyn Dr Ste 102 , Spartanburg SC 29307-1058. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as the primary health care specialty. Mary Black Health System Llc can be contacted via phone (864) 573-3272, or through Brewer, Debbie via phone (615) 465-7000.

Contact Information

Primary practice address
1686 Skylyn Dr Ste 102 Spartanburg SC 29307-1058
Phone: (864) 573-3272
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Debbie
Phone: (615) 465-7000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X

Profile Details

NPI number 1073620654
LBN Legal business name Mary Black Health System Llc
DBA Doing business as Mary Black Maternal-Fetal Medicine
Authorized official Brewer, Debbie
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 23rd, 2006
Last updated Aug 14th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073620654 NPPES
South Carolina MEDICAID GP2893

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