NPI 1073620654 · live from the CMS NPI Registry
Mary Black Health System LLC
Obstetrics & Gynecology, Maternal & Fetal Medicine in Spartanburg, SC. National Provider Identifier 1073620654, active.
NPI record
| NPI | 1073620654 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Maternal & Fetal Medicine 207VM0101X |
| Practice location | 1686 Skylyn Dr Ste 102, Spartanburg, SC 29307 |
| Practice phone | 864-573-3272 |
| Mailing address | 138 Dillon Dr Ste A, Spartanburg, SC 29307 |
| Enumerated | August 23, 2006 |
| Last updated | August 14, 2007 |
| Authorized official | Debbie Brewer, Director Of Provider Enrollment |
| Other names | Mary Black Maternal-Fetal Medicine |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Maternal & Fetal Medicine primary | 207VM0101X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.