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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: August 16, 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
Phone(864) 587-3000
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
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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.

MARY BLACK PHYSICIANS GROUP LLC
Durable Medical Equipment & Medical Supplies
2995 REIDVILLE RD, STE 290
SPARTANBURG, SC 29301
Spartanburg County (864) 585-3456
MARY BLACK PHYSICIANS GROUP LLC
Durable Medical Equipment & Medical Supplies
2995 REIDVILLE RD
SPARTANBURG, SC 29301
Spartanburg County (864) 587-3000
MARY BLACK PHYSICIANS GROUP LLC
Durable Medical Equipment & Medical Supplies
2995 REIDVILLE RD, SUITE 210
SPARTANBURG, SC 29301
Spartanburg County (864) 596-7424
MARY BLACK HEALTH SYSTEM, LLC
Radiology (Diagnostic Radiology)
2995 REIDVILLE RD, SUITE 130
SPARTANBURG, SC 29301
Spartanburg County (864) 587-3020
MARY BLACK PHYSICIANS GROUP, LLC
Family Medicine
2995 REIDVILLE RD, SUITE 260
SPARTANBURG, SC 29301
Spartanburg County (864) 574-2866
MARY BLACK PHYSICIANS GROUP, LLC
Internal Medicine
2995 REIDVILLE RD, SUITE 210
SPARTANBURG, SC 29301
Spartanburg County (864) 596-7424
MARY BLACK PHYSICIANS GROUP LLC
Durable Medical Equipment & Medical Supplies
2995 REIDVILLE RD, SUITE 260
SPARTANBURG, SC 29301
Spartanburg County (864) 574-2866
SPARTANBURG MEDICAL CENTER
Obstetrics & Gynecology
2995 REIDVILLE RD, SUITE 290
SPARTANBURG, SC 29301
Spartanburg County (864) 574-4483

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.