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Organization
MARY BLACK HEALTH SYSTEM, LLC
Active
Organization
MARY BLACK HEALTH SYSTEM, LLC
Active
Other names
Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA HURLEY (SENIOR VICE PRESIDENT)
(214) 473-3993
Entity
Organization
Contact information
Practice address
130 DILLON DR, SPARTANBURG, SC 29307-1018
(864) 585-2027
Mailing address
130 DILLON DR, SPARTANBURG, SC 29307-1018
(864) 585-2027
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1670
—
SC
Enumeration date
07/26/2006
Last updated
05/13/2008
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