Organization
MARY BLACK HEALTH SYSTEM LLC
Active
Other names
Carolina Orthopaedic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA HURLEY (SENIOR VICE PRESIDENT)
(864) 488-2507
Entity
Organization
Contact information
Practice address
724 HYATT ST, SUITE F, GAFFNEY, SC 29341-2630
(864) 488-2507
(864) 488-9031
Mailing address
PO BOX 406757, ATLANTA, GA 30384-6757
(864) 488-2507
(864) 488-9031
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3681
—
SC
Enumeration date
12/21/2006
Last updated
08/22/2020
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