Mary Black Physicians Group Llc

LBN: Mary Black Physicians Group Llc
Mary Black Physicians Group Llc is an health care organization with primary practice located at 130 Dillon Dr , Spartanburg SC 29307-1018. The organization recently has 13 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Mary Black Physicians Group Llc can be contacted via phone (864) 585-2027, or through Arwood, Sophia L via phone (615) 628-6038.

Contact Information

Primary practice address
130 Dillon Dr Spartanburg SC 29307-1018
Phone: (864) 585-2027
Fax: (864) 585-2488
Website:
Map and Directions
Authorized official contact:
Name: Arwood, Sophia L
Phone: (615) 628-6038

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X
Allopathic & Osteopathic Physicians / Urology 208800000X
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1295823045
LBN Legal business name Mary Black Physicians Group Llc
DBA Doing business as
Authorized official Arwood, Sophia L
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2006
Last updated Jan 22nd, 2014 - about 10 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 1295823045 NPPES
South Carolina MEDICAID GP4690

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