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MARY BLACK PHYSICIANS GROUP LLC
NPI 1093933855
Durable Medical Equipment & Medical Supplies in Duncan, SC

Active since April 24, 2007
500 SQUIRES PT, SUITE A, DUNCAN, SC 29334(864) 433-8980 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Black Physicians Group Llc NPPES

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

MARY BLACK PHYSICIANS GROUP LLC (NPI 1093933855) is a healthcare organization registered as a durable medical equipment & medical supplies in Duncan, South Carolina and active in the NPI registry since April 2007. The organization lists Donna L Mattson, Senior Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1093933855
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMARY BLACK PHYSICIANS GROUP LLC
Location Address500 SQUIRES PT, SUITE ADuncan, SC 29334-8867
Mailing AddressPo Box 277827Atlanta, GA 30384-7827 · (864) 253-8080
Phone(864) 433-8980
Organization SubpartNo
Authorized OfficialDonna L MattsonSenior Credentialing Coordinator · (214) 473-7043
Enumeration DateApril 24, 2007
Last NPPES UpdateJuly 2, 2008
✔ NPI 1093933855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
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.
500 SQUIRES PT, Duncan, SC 29334
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Other Identifiers 2

Medicare ID-Type Unspecified8688SC
Medicare PIN5878670018SC

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY BLACK PHYSICIANS GROUP, LLC
Pediatrics
500 SQUIRES PT, SUITE A
DUNCAN, SC 29334
Spartanburg County (864) 433-0369
MARY BLACK PHYSICIANS GROUP LLC
Durable Medical Equipment & Medical Supplies
500 SQUIRES PT, SUITE B
DUNCAN, SC 29334
Spartanburg County (864) 433-8980
MARY BLACK PHYSICIANS GROUP, LLC
Family Medicine
500 SQUIRES PT, SUITE B
DUNCAN, SC 29334
Spartanburg County (864) 433-8980

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 Physicians Group LLC's NPI number?

The NPI number for Mary Black Physicians Group LLC is 1093933855. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Mary Black Physicians Group LLC located?

Mary Black Physicians Group LLC is located at 500 Squires Pt Suite A, Duncan, SC 29334. The listed phone number is (864) 433-8980.

What is Mary Black Physicians Group LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Mary Black Physicians Group LLC was last updated on July 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.