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Mary Black Physicians Group, LLC — NPI 1104061688, Spartanburg, SC | NPI Central

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NPI 1104061688

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Mary Black Physicians Group, LLC

NPI 1104061688 · Emergency Medical Services (Emergency Medicine) Physician · Spartanburg, SC

Provider details

NPI number: 1104061688
Entity type: Organization
Primary specialty: Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
Parent organization: Mary Black Physicians Group, LLC
Organization subpart: Yes
Authorized official: Debbie Brewer, Director Provider Enrollment(615) 465-7626

Specialties & taxonomies

Emergency Medical Services (Emergency Medicine) PhysicianPrimary207PE0004X
Allopathic & Osteopathic Physicians

Practice location

2995 Reidville Rd

Spartanburg, SC 29301-5628

Phone: (864) 587-3000

Approximate (ZIP-level) locationGet directions

More SC providers

Mailing address

Po Box 277827

Atlanta, GA 30384-7827

Other names (DBA / former)

Other name: Mary Black Minor Care

Registry dates

Enumerated: 2008-12-11
Last updated: 2008-12-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.