Organization
MARY BLACK HEALTH SYSTEM LLC
Active
Other names
Mary Black Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA HURLEY (SENIOR VICE PRESIDENT)
(214) 473-3993
Entity
Organization
Contact information
Practice address
1700 SKYLYN DR, SPARTANBURG, SC 29307-1041
(864) 573-3000
(864) 573-3277
Mailing address
1700 SKYLYN DR, PO BOX 3217, SPARTANBURG, SC 29307-1041
(864) 573-3000
(864) 573-3277
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
HTL-704
SC
207RC0001X
Clinical Cardiac Electrophysiology Physician
HTL-704
SC
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1764
—
SC
Enumeration date
06/23/2006
Last updated
09/11/2025
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