# MARY BLACK HEALTH SYSTEM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARY BLACK HEALTH SYSTEM, LLC
- **Other names:** Piedmont Internal Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316955784
- **Legal business name:** MARY BLACK HEALTH SYSTEM, LLC
- **Authorized official:** REBECCA HURLEY (SR VP)
- **Authorized official phone:** (214) 473-3993

## Contact information

- **Practice address:** 2995 REIDVILLE RD STE 210, SPARTANBURG, SC 29301-5631
- **Practice address phone:** (864) 587-1962
- **Mailing address:** PO BOX 406757, ATLANTA, GA 30384-6757
- **Mailing address phone:** (864) 253-8080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 06/25/2008