Mary Black Health System, Llc
Pediatrics
Mary Black Health System, Llc is a Spartanburg, South Carolina based Pediatric center with medical specialization in
General Pediatrics. Mary Black Health System, Llc is doing business as
Pediatric Associates.
It is located at
147 Oakwood Ave, Spartanburg, South Carolina - 29302-1207. They can be contacted on phone at
864-582-8135.
NPI number (Unique professional ID) for Mary Black Health System, Llc is
1588679922 which was assigned by NPPES on 31 Jul, 2006 and it was last updated on 14 Aug, 2007.
Mary Black Health System, Llc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mary Black Health System, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mary Black Health System, Llc |
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| Other Name : | Pediatric Associates |
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Business Address:
Mary Black Health System, Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 147 Oakwood Ave
Spartanburg, SC, 29302-1207
United States |
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| Phone Number : | 864-582-8135 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1588679922 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 31 Jul, 2006 |
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| Last Updated On : | 14 Aug, 2007 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Debbie Brewer |
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| Official Title or Position : | DIRECTOR OF PROVIDER ENROLLMENT |
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| Phone Number : | 615-465-7000 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Black Health System, Llc are as mentioned. Primary taxonomy code for Mary Black Health System, Llc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | No | | |
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Mary Black Health System, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| GP2480 | MEDICAID | SC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 138 Dillon Dr Ste A
Spartanburg, SC, 29307-1018
United States |
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| Phone Number : | 864-542-8980 |
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| Fax Number : | 864-515-9994 |
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Business Location:
Patients can refer following map for directions to
Mary Black Health System, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.