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
702 S ALABAMA AVE, CHESNEE, SC 29323-1706
(864) 703-1419
Mailing address
702 S ALABAMA AVE, PO BOX 558, CHESNEE, SC 29323-1706
(864) 703-1419
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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