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MARY BLACK MATERNAL-FETAL MEDICINE
NPI 1073620654
Obstetrics & Gynecology - Maternal & Fetal Medicine in Spartanburg, SC

Active since August 23, 2006
1686 SKYLYN DR STE 102, SPARTANBURG, SC 29307(864) 573-3272 Get Directions Write a Review

NPPES record last updated: August 14, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Black Maternal-fetal Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY BLACK MATERNAL-FETAL MEDICINE (NPI 1073620654) is a healthcare organization registered as a maternal & fetal medicine in Spartanburg, South Carolina and active in the NPI registry since August 2006. The organization lists Debbie Brewer, Director Of Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1073620654
Entity TypeOrganization
Primary Taxonomy207VM0101X
Legal Business NameMARY BLACK HEALTH SYSTEM LLC
Location Address1686 SKYLYN DR STE 102Spartanburg, SC 29307-1058
Mailing Address138 Dillon Dr Ste ASpartanburg, SC 29307-1018 · (864) 542-8980 · Fax (864) 515-9994
Phone(864) 573-3272
Organization SubpartYes
Authorized OfficialDebbie BrewerDirector Of Provider Enrollment · (615) 465-7000
Enumeration DateAugust 23, 2006
Last NPPES UpdateAugust 14, 2007
✔ NPI 1073620654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
1686 SKYLYN DR STE 102, Spartanburg, SC 29307
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Other Names 1

Doing Business AsMary Black Maternal-fetal Medicine

Other Identifiers 3

MedicaidGP2893SC
Medicare ID-Type Unspecified5286
Medicare ID-Type Unspecified6812

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Black Health System LLC's NPI number?

The NPI number for Mary Black Health System LLC is 1073620654. It was assigned to this organization in the NPPES registry on August 23, 2006. The provider is doing business as Mary Black Maternal-Fetal Medicine.

Where is Mary Black Health System LLC located?

Mary Black Health System LLC is located at 1686 Skylyn Dr Ste 102, Spartanburg, SC 29307. The listed phone number is (864) 573-3272.

What is Mary Black Health System LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

When was this NPI record last updated?

The NPPES record for Mary Black Health System LLC was last updated on August 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.