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Organization

MARY BLACK HEALTH SYSTEM LLC

Active
Other names
Mary Black Gastroenterology Associates
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA HURLEY (SENIOR VICE PRESIDENT)
(214) 473-3993
Entity
Organization

Contact information

Practice address
11 DOCTORS PARK DR, SPARTANBURG, SC 29307-1024
(864) 342-1435
Mailing address
11 DOCTORS PARK DR, SPARTANBURG, SC 29307-1024
(864) 342-1435

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RG0100X
Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP1874
SC
Enumeration date
07/26/2006
Last updated
09/11/2025
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