MARY BLACK PHYSICIANS GROUP LLC


Address: 1690 Skylyn Dr, Suite 210, Spartanburg, SC 29307-1022
Phone: 8645857887

MARY BLACK PHYSICIANS GROUP LLC (NPI# 1992925713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992925713
Entity Type Organization
Organization Name MARY BLACK PHYSICIANS GROUP LLC
Practice Address 1690 Skylyn Dr
Suite 210
Spartanburg
SC 29307-1022
Mailing Address Po Box 277827
Atlanta
GA 30384-7827
Practice Telephone 8645857887
Practice Fax Number 8645823327
Mailing Telephone 8645857887
Enumeration Date 2007-04-26
Last Update Date 2009-06-11
Authorized Official Name V KAREN FLINN (VP)
Authorized Official Telephone 2144733773
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1164667283 Mary Black Physicians Group LLC Durable Medical Equipment & Medical Supplies 5229 Hwy 221, Roebuck, SC 29376-3305 2008-12-03
1427276203 Mary Black Physicians Group LLC Durable Medical Equipment & Medical Supplies 170 Camelot Dr, Spartanburg, SC 29301-2650 2007-04-24
1235357260 Mary Black Physicians Group LLC Durable Medical Equipment & Medical Supplies 145 Dillon Dr # B, Spartanburg, SC 29307-1017 2007-04-23
1619339660 Mary Black Physicians Group LLC Durable Medical Equipment & Medical Supplies 2995 Reidville Rd, Spartanburg, SC 29301-5628 2016-03-28
1093171332 Mary Black Physicians Group LLC Durable Medical Equipment & Medical Supplies 722 Hyatt St, Suite D, Gaffney, SC 29341-2643 2015-12-31
1053556191 Mary Black Physicians Group LLC Durable Medical Equipment & Medical Supplies 2995 Reidville Rd, Spartanburg, SC 29301-5628 2008-12-03
1053511766 Mary Black Physicians Group LLC Durable Medical Equipment & Medical Supplies 2995 Reidville Rd, Ste 290, Spartanburg, SC 29301-5628 2007-07-20
1669672358 Mary Black Physicians Group LLC Durable Medical Equipment & Medical Supplies 5470 N Main St, Cowpens, SC 29330-9705 2007-07-20
1336344852 Mary Black Physicians Group LLC Clinic/Center 5229 Highway 221, Roebuck, SC 29376-3305 2007-06-15
1457555120 Mary Black Physicians Group LLC Clinic/Center 108 W Rutherford St, Landrum, SC 29356-1526 2007-06-14

Office Location

Street Address 1690 SKYLYN DR
SUITE 210
City SPARTANBURG
State SC
Zip Code 29307-1022

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356338156 Frederick C. Swensen Plastic Surgery 1690 Skylyn Dr, Suite 100, Spartanburg, SC 29307-1022 2005-10-05
1659775617 Roxanne Singer-gheorghiu Nurse Practitioner 1690 Skylyn Dr, Suite 140, Spartanburg, SC 29307-1022 2014-10-20
1518366483 Bg Neurology LLC Clinic/Center 1690 Skylyn Dr, Suite 140, Spartanburg, SC 29307-1022 2014-08-17
1013152669 Mary Black Physicians Group, LLC Internal Medicine 1690 Skylyn Dr, Suite 300, Spartanburg, SC 29307-1022 2008-12-11
1962647438 Mary Black Physicians Group, LLC Family Medicine 1690 Skylyn Dr, Suite 210, Spartanburg, SC 29307-1022 2008-12-11
1295970770 Mary Black Physicians Group, LLC Surgery 1690 Skylyn Dr, Suite 140, Spartanburg, SC 29307-1022 2008-12-11
1821216953 Mary Black Physicians Group LLC Durable Medical Equipment & Medical Supplies 1690 Skylyn Dr, Suite 300, Spartanburg, SC 29307-1022 2007-04-23
1578507174 Mary Black Health System LLC Internal Medicine 1690 Skylyn Dr, Suite 300, Spartanburg, SC 29307-1022 2006-06-15
1578510491 John Thompson Tate Surgery 1690 Skylyn Dr, Suite 140, Spartanburg, SC 29307-1022 2006-05-27
1588617310 Max Cortez Finch Jr. Internal Medicine 1690 Skylyn Dr, Suite 300, Spartanburg, SC 29307-1022 2006-05-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023677945 Healogics Specialty Physicians of South Carolina, LLC Clinic/Center 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 2019-06-13
1194247528 Tawnia Lee Prince Occupational Therapy Assistant 110 Summit Knoll Drive, Spartanburg, SC 29307 2017-07-07
1730633553 Laura K Taylor Chiropractor 1802 Drayton Road, Suite 309, Spartanburg, SC 29307 2016-08-10
1013372390 Erin Lavette Farr Nurse Practitioner 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 2015-12-30
1316312010 Joy Rogers Speech-Language Pathologist 175 Burdette St, Spartanburg, SC 29307 2015-12-07
1376923169 Olivia Conrad Speech-Language Pathologist 220 Sloans Grove Rd, Spartanburg, SC 29307 2015-06-05
1457755118 Optimal Radiology Partners of Virginia, Pllc Radiology 75 Skylyn Drive, Spartanburg, SC 29307 2014-10-09
1295033272 Sean Quinn Pharmacist 790 East Main Street, Spartanburg, SC 29307 2011-03-01
1417250887 James Edward Bradof Internal Medicine 212 Cypress Creek Drive, Spartanburg, SC 29307 2010-12-07
1528388030 Tanya Tocharoen Tang Internal Medicine 126 Dillon Dr., Spartanburg, SC 29307 2010-06-07
Find all providers in zip 29307

Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992339220 Donald Jason Jolley Durable Medical Equipment & Medical Supplies 1413 Wo Ezell Blvd, Spartanburg, SC 29301-1560 2020-02-25
1275011652 Tri-state Medical Supplies, North Grove Durable Medical Equipment & Medical Supplies 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 2018-07-30
1881118511 Walgreen Co Durable Medical Equipment & Medical Supplies 1000 N Pine St Ste 32, Spartanburg, SC 29303-3182 2017-08-03
1619490646 Walgreen Co Durable Medical Equipment & Medical Supplies 1510 Wo Ezell Blvd, Spartanburg, SC 29301-2616 2017-07-21
1376095620 Anesthesia Services Associates Durable Medical Equipment & Medical Supplies 225 E Blackstock Rd, Spartanburg, SC 29301-2633 2016-11-02
1215375944 Southeastern Paper Group Durable Medical Equipment & Medical Supplies 50 Old Blackstock Rd, Spartanburg, SC 29301-5571 2013-06-04
1699086546 Peacock Pharmacy LLC Durable Medical Equipment & Medical Supplies 8147 Warren H Abernathy Hwy, Spartanburg, SC 29301-2451 2010-06-25
1912221664 Peaock Medical Equipment & Home Health Care LLC Durable Medical Equipment & Medical Supplies 550 S Church St Ste 11, Spartanburg, SC 29306-3306 2010-03-24
1750549341 Miracle Medical Supply Inc Durable Medical Equipment & Medical Supplies 275 S Church St, Suite 103, Spartanburg, SC 29306-3417 2008-05-30
1922283308 David E Byers Durable Medical Equipment & Medical Supplies 1413 W O Ezell Blvd, Spartanburg, SC 29301-1560 2008-01-04
Find all providers in SPARTANBURG

Competitor

Search similar providers

City SPARTANBURG
Zip Code 29307

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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