MARY BLACK MINOR CARE
NPI 1104061688
Emergency Medicine - Emergency Medical Services in Spartanburg, SC

Active since December 11, 2008
2995 REIDVILLE RD, SPARTANBURG, SC 29301(864) 587-3000 Get Directions Write a Review

NPPES record last updated: December 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Black Minor Care NPPES

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

MARY BLACK MINOR CARE (NPI 1104061688) is a healthcare organization registered as an emergency medical services in Spartanburg, South Carolina and active in the NPI registry since December 2008. The organization lists Debbie Brewer, Director Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1104061688
Entity TypeOrganization
Primary Taxonomy207PE0004X
Legal Business NameMARY BLACK PHYSICIANS GROUP, LLC
Location Address2995 REIDVILLE RDSpartanburg, SC 29301-5628
Mailing AddressPo Box 277827Atlanta, GA 30384-7827 · (864) 253-8080 · Fax (864) 582-5188
Organization SubpartYes
Authorized OfficialDebbie BrewerDirector Provider Enrollment · (615) 465-7626
Enumeration DateDecember 11, 2008
NPI 1104061688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

2995 REIDVILLE RD, Spartanburg, SC 29301

Other Names 1

Other NameMary Black Minor Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

Durable Medical Equipment & Medical Supplies
2995 REIDVILLE RD, STE 290
SPARTANBURG, SC 29301
Durable Medical Equipment & Medical Supplies
2995 REIDVILLE RD
SPARTANBURG, SC 29301
Durable Medical Equipment & Medical Supplies
2995 REIDVILLE RD, SUITE 210
SPARTANBURG, SC 29301
Radiology (Diagnostic Radiology)
2995 REIDVILLE RD, SUITE 130
SPARTANBURG, SC 29301
Family Medicine
2995 REIDVILLE RD, SUITE 260
SPARTANBURG, SC 29301
Internal Medicine
2995 REIDVILLE RD, SUITE 210
SPARTANBURG, SC 29301
Durable Medical Equipment & Medical Supplies
2995 REIDVILLE RD, SUITE 260
SPARTANBURG, SC 29301
Obstetrics & Gynecology
2995 REIDVILLE RD, SUITE 290
SPARTANBURG, SC 29301

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 1104061688. It was assigned to this organization in the NPPES registry on December 11, 2008. The provider is also known as Mary Black Minor Care.

Where is Mary Black Physicians Group, LLC located?

Mary Black Physicians Group, LLC is located at 2995 Reidville Rd, Spartanburg, SC 29301. The listed phone number is (864) 587-3000.

What is Mary Black Physicians Group, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for Mary Black Physicians Group, LLC was last updated on December 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.