Organization
MARY M VARN, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY M VARN MD (OWNER)
(864) 587-9872
Entity
Organization
Contact information
Practice address
233 E BLACKSTOCK RD STE J, SPARTANBURG, SC 29301-2652
(864) 587-9872
(864) 587-9892
Mailing address
233 E BLACKSTOCK RD STE J, SPARTANBURG, SC 29301-2652
(864) 587-9872
(864) 587-9892
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
16260
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162601
—
SC
Enumeration date
01/08/2007
Last updated
02/21/2012
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