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Contact Information

MARY BLACK HEALTH SYSTEM, LLC
138 DILLON DR STE A
SPARTANBURG, SC29307-1018
 Phone: 864-542-8980
 Fax: 864-515-9994
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist, Pathology

246Q00000X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for MARY BLACK HEALTH SYSTEM LLC · (Female)

NPI # 1528075082
Status Active
Credentials
Entity Individual
Enumeration date 08/01/2006
Last updated 08/14/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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