Organization
MARY BLACK PHYSICIANS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
V KAREN FLINN (VP)
(214) 473-3773
Entity
Organization
Contact information
Practice address
108 W RUTHERFORD ST, LANDRUM, SC 29356-1526
(834) 475-4703
(864) 457-2736
Mailing address
108 W RUTHERFORD ST, LANDRUM, SC 29356-1526
(834) 475-4703
(864) 457-2736
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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