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
1690 SKYLYN DR, SUITE 300, SPARTANBURG, SC 29307-1022
(864) 582-1201
(864) 596-7409
Mailing address
PO BOX 277827, ATLANTA, GA 30384-7827
(864) 582-1201
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
06/11/2009
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