Peachview Medical Ctr

LBN: Mary Black Physicians Group, Llc
Peachview Medical Ctr is an health care organization with primary practice located at 722 Hyatt St Suite C, Gaffney SC 29341-2643. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mary Black Physicians Group, Llc can be contacted via phone (864) 591-0745, or through Brewer, Debbie via phone (615) 465-7626.

Contact Information

Primary practice address
722 Hyatt St Suite C Gaffney SC 29341-2643
Phone: (864) 591-0745
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Debbie
Phone: (615) 465-7626

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1598900078
LBN Legal business name Mary Black Physicians Group, Llc
DBA Doing business as Peachview Medical Ctr
Authorized official Brewer, Debbie
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 11th, 2008
Last updated Dec 11th, 2008 - about 16 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 1598900078 NPPES
South Carolina MEDICAID GP4770

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