Organization
MARY BLACK PHYSICIANS GROUP LLC
Active
Parent organization
MARY BLACK PHYSICIANS GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARY BLACK PHYSICIANS GROUP, LLC
Authorized official
V KAREN FLINN (VP)
(214) 473-3773
Entity
Organization
Contact information
Practice address
722 HYATT ST, SUITE B, GAFFNEY, SC 29341-2643
(864) 488-1400
(864) 488-1057
Mailing address
PO BOX 277827, ATLANTA, GA 30384-7827
(864) 488-1400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
06/12/2009
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