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MARY BLACK PHYSICIANS GROUP, LLC
NPI 1740425222
Internal Medicine in Spartanburg, SC

Active since December 11, 2008
1700 SKYLYN DR, SPARTANBURG, SC 29307(864) 253-8080(864) 582-5188 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 Physicians Group, Llc NPPES

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

MARY BLACK PHYSICIANS GROUP, LLC (NPI 1740425222) is a healthcare organization registered as an internal medicine 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

NPI1740425222
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMARY BLACK PHYSICIANS GROUP, LLC
Location Address1700 SKYLYN DRSpartanburg, SC 29307-1041
Mailing AddressPo Box 277827Atlanta, GA 30384-7827 · (864) 253-8080 · Fax (864) 582-5188
Phone(864) 253-8080
Fax(864) 582-5188
Organization SubpartYes
Authorized OfficialDebbie BrewerDirector Provider Enrollment · (615) 465-7626
Enumeration DateDecember 11, 2008
✔ NPI 1740425222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
1700 SKYLYN DR, Spartanburg, SC 29307
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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

Other Providers at the Same Location NPPES 20

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

MR. JOHN ROBERT BURCHFIELD M.D.
Specialist
1700 SKYLYN DR
SPARTANBURG, SC 29307
Spartanburg County (864) 573-3000
MR. HAECHE KIM M.D.
Specialist
1700 SKYLYN DR
SPARTANBURG, SC 29307
Spartanburg County (864) 573-3000
BRUCE A BOURDON MD
Emergency Medicine
1700 SKYLYN DR
SPARTANBURG, SC 29307
Spartanburg County (864) 297-6574
HOLLY AUSTIN PAC
Physician Assistant
1700 SKYLYN DR
SPARTANBURG, SC 29307
Spartanburg County (864) 297-6574
DANIEL L CRANSTON DO
Emergency Medicine
1700 SKYLYN DR
SPARTANBURG, SC 29307
Spartanburg County (864) 297-6574
MISS HANNAH M CARGILL CRNA
Nurse Anesthetist, Certified Registered
1700 SKYLYN DR
SPARTANBURG, SC 29307
Spartanburg County (864) 573-3000
CHRISTOPHER WIENAND
Nurse Anesthetist, Certified Registered
1700 SKYLYN DR
SPARTANBURG, SC 29307
Spartanburg County (864) 573-3000
DAVID MERRILL DATWYLER
Nurse Anesthetist, Certified Registered
1700 SKYLYN DR
SPARTANBURG, SC 29307
Spartanburg County (864) 573-3000

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 1740425222. It was assigned to this organization in the NPPES registry on December 11, 2008.

Where is Mary Black Physicians Group, LLC located?

Mary Black Physicians Group, LLC is located at 1700 Skylyn Dr, Spartanburg, SC 29307. The listed phone number is (864) 253-8080.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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.