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
391 GLENN SPRINGS RD, PACOLET, SC 29372-2417
(864) 703-1414
(864) 703-1419
Mailing address
391 GLENN SPRINGS RD, PACOLET, SC 29372-2417
(864) 703-1414
(864) 703-1419
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2006
Last updated
08/22/2020
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