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Organization
MARY BLACK HEALTH SYSTEM LLC
Active
Organization
MARY BLACK HEALTH SYSTEM LLC
Active
Other names
Carolina Orthopaedic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA HURLEY (SENIOR VICE PRESIDENT)
(864) 488-2507
Entity
Organization
Contact information
Practice address
724 HYATT ST, SUITE F, GAFFNEY, SC 29341-2630
(864) 488-2507
(864) 488-9031
Mailing address
PO BOX 406757, ATLANTA, GA 30384-6757
(864) 488-2507
(864) 488-9031
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3681
—
SC
Enumeration date
12/21/2006
Last updated
08/22/2020
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