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SQUIRES POINTE MEDICAL PARK
NPI 1861415085
Family Medicine in Duncan, SC

Active since July 26, 2006
500 SQUIRES POINTE, DUNCAN, SC 29334(864) 433-8980 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Squires Pointe Medical Park NPPES

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

SQUIRES POINTE MEDICAL PARK (NPI 1861415085) is a healthcare organization registered as a family medicine in Duncan, South Carolina and active in the NPI registry since July 2006. The organization lists Debbie Brewer, Director Of Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1861415085
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMARY BLACK HEALTH SYSTEM LLC
Location Address500 SQUIRES POINTEDuncan, SC 29334
Mailing AddressPo Box 406757Atlanta, GA 30384-6757 · (864) 253-8080
Phone(864) 433-8980
Organization SubpartYes
Authorized OfficialDebbie BrewerDirector Of Provider Enrollment · (615) 465-7000
Enumeration DateJuly 26, 2006
Last NPPES UpdateJune 25, 2008
✔ NPI 1861415085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
500 SQUIRES POINTE, Duncan, SC 29334
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Other Names 1

Doing Business AsSquires Pointe Medical Park

Other Identifiers 2

Medicare PIN5297SC
MedicaidGP2924SC

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

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 Health System LLC's NPI number?

The NPI number for Mary Black Health System LLC is 1861415085. It was assigned to this organization in the NPPES registry on July 26, 2006. The provider is doing business as Squires Pointe Medical Park.

Where is Mary Black Health System LLC located?

Mary Black Health System LLC is located at 500 Squires Pointe, Duncan, SC 29334. The listed phone number is (864) 433-8980.

What is Mary Black Health System LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mary Black Health System LLC was last updated on June 25, 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.