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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
Center for Industrial Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARY BLACK HEALTH SYSTEM LLC
Authorized official
LAURIE HOLTSFORD (DIRECTOR OF BUSINESS OFFICE SUPPORT)
(615) 465-7000
Entity
Organization
Contact information
Practice address
138 DILLON DR STE A, SPARTANBURG, SC 29307-1018
(864) 542-8980
(864) 515-9994
Mailing address
2995 REIDVILLE RD, SUITE 100, SPARTANBURG, SC 29301-5628
(864) 587-3030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
209800000X
Legal Medicine (M.D./D.O.) Physician
—
—
Other
Enumeration date
08/03/2006
Last updated
08/21/2007
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