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Organization
MARY BLACK HEALTH SYSTEM LLC
Active
Organization
MARY BLACK HEALTH SYSTEM LLC
Active
Other names
Mary Black Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA HURLEY (SENIOR VICE PRESIDENT)
(214) 473-3993
Entity
Organization
Contact information
Practice address
1700 SKYLYN DR, SPARTANBURG, SC 29307-1041
(864) 573-3000
(864) 573-3277
Mailing address
1700 SKYLYN DR, PO BOX 3217, SPARTANBURG, SC 29307-1041
(864) 573-3000
(864) 573-3277
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
HTL-704
SC
207RC0001X
Clinical Cardiac Electrophysiology Physician
HTL-704
SC
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/23/2006
Last updated
09/11/2025
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