Mary Black Family Medicine-Landrum

LBN: Mary Black Physicians Group, Llc
Mary Black Family Medicine-Landrum is an health care organization with primary practice located at 108 W Rutherford St , Landrum SC 29356-1526. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Mary Black Physicians Group, Llc can be contacted via phone (864) 457-2363, or through Brewer, Debbie via phone (615) 465-7626.

Contact Information

Primary practice address
108 W Rutherford St Landrum SC 29356-1526
Phone: (864) 457-2363
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Debbie
Phone: (615) 465-7626

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1952546434
LBN Legal business name Mary Black Physicians Group, Llc
DBA Doing business as Mary Black Family Medicine-Landrum
Authorized official Brewer, Debbie
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 11th, 2008
Last updated Dec 11th, 2008 - 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 1952546434 NPPES
South Carolina MEDICAID GP4775

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