Organization
MARY BLACK HEALTH SYSTEM, LLC
Active
Other names
The Diagnostic Center Imaging Services
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA HURLEY (SENIOR VICE PRESIDENT)
(214) 473-3993
Entity
Organization
Contact information
Practice address
2995 REIDVILLE RD, SUITE 130, SPARTANBURG, SC 29301-5628
(864) 587-3020
Mailing address
138 DILLON DR STE A, SPARTANBURG, SC 29307-1018
(864) 542-8980
(864) 515-9994
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1624
—
SC
Enumeration date
07/30/2006
Last updated
08/22/2020
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