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MARY BLACK FAMILY MEDICINE DORMAN
NPI 1164667283
Durable Medical Equipment & Medical Supplies in Roebuck, SC

Active since December 03, 2008
5229 HWY 221, ROEBUCK, SC 29376(864) 576-8193 Get Directions Write a Review

NPPES record last updated: February 26, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Black Family Medicine Dorman NPPES

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

MARY BLACK FAMILY MEDICINE DORMAN (NPI 1164667283) is a healthcare organization registered as a durable medical equipment & medical supplies in Roebuck, South Carolina and active in the NPI registry since December 2008. The organization lists Debbie Brewer, Director, as its authorized official.

NPPES Registry Identity

NPI1164667283
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMARY BLACK PHYSICIANS GROUP LLC
Location Address5229 HWY 221Roebuck, SC 29376-3305
Mailing Address5229 Hwy 221Roebuck, SC 29376-3305 · (864) 576-8193
Phone(864) 576-8193
Organization SubpartYes
Authorized OfficialDebbie BrewerDirector · (877) 892-9813
Enumeration DateDecember 3, 2008
Last NPPES UpdateFebruary 26, 2009
✔ NPI 1164667283 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.
5229 HWY 221, Roebuck, SC 29376
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Other Names 1

Doing Business AsMary Black Family Medicine Dorman

Other Identifiers 1

Medicare NSC5878670025SC

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 1164667283. It was assigned to this organization in the NPPES registry on December 3, 2008. The provider is doing business as Mary Black Family Medicine Dorman.

Where is Mary Black Physicians Group LLC located?

Mary Black Physicians Group LLC is located at 5229 Hwy 221, Roebuck, SC 29376. The listed phone number is (864) 576-8193.

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 February 26, 2009. 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.