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Organization
MARY BLACK HEALTH SYSTEM, LLC
Active
Organization
MARY BLACK HEALTH SYSTEM, LLC
Active
Parent organization
MARY BLACK HEALTH SYSTEM, LLC
Other names
Piedmont Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARY BLACK HEALTH SYSTEM, LLC
Authorized official
REBECCA HURLEY (SR VP)
(214) 473-3993
Entity
Organization
Contact information
Practice address
2995 REIDVILLE RD STE 210, SPARTANBURG, SC 29301-5631
(864) 587-1962
Mailing address
PO BOX 406757, ATLANTA, GA 30384-6757
(864) 253-8080
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
08/03/2006
Last updated
06/25/2008
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