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MARY BLACK PHYSICIANS GROUP LLC
NPI 1891913653
Durable Medical Equipment & Medical Supplies in Spartanburg, SC

Active since April 24, 2007
130 DILLON DR, SPARTANBURG, SC 29307(864) 585-2027 Get Directions Write a Review

NPPES record last updated: July 2, 2009. Verified against the NPPES registry weekly; last sync: August 09, 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 1891913653) is a healthcare organization registered as a durable medical equipment & medical supplies in Spartanburg, South Carolina and active in the NPI registry since April 2007. The organization lists Donna L Mattson, Senior Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1891913653
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMARY BLACK PHYSICIANS GROUP LLC
Location Address130 DILLON DRSpartanburg, SC 29307-1018
Mailing AddressPo Box 277827Atlanta, GA 30384-7827 · (864) 585-2027
Phone(864) 585-2027
Organization SubpartNo
Authorized OfficialDonna L MattsonSenior Credentialing Coordinator · (214) 473-7043
Enumeration DateApril 24, 2007
Last NPPES UpdateJuly 2, 2009
✔ NPI 1891913653 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.
130 DILLON DR, Spartanburg, SC 29307
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Other Identifiers 2

Medicare ID-Type Unspecified8688SC
Medicare NSC5878670003SC

Other Providers at the Same Location NPPES 6

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

MARY BLACK PHYSICIANS GROUP, LLC
Family Medicine
130 DILLON DR
SPARTANBURG, SC 29307
Spartanburg County (864) 585-2027
MARY BLACK PHYSICIANS GROUP LLC
Family Medicine
130 DILLON DR
SPARTANBURG, SC 29307
Spartanburg County (864) 585-2027
ORTHO SPORT & SPINE PHYSICIANS SPARTANBURG
Physical Medicine & Rehabilitation
130 DILLON DR
SPARTANBURG, SC 29307
Spartanburg County (678) 752-7246
ERBLAZ
General Practice
130 DILLON DR
SPARTANBURG, SC 29307
Spartanburg County (864) 365-3000
SUSAN D CASPER PA
Physician Assistant
130 DILLON DR
SPARTANBURG, SC 29307
Spartanburg County (800) 678-4611
MARY BLACK HEALTH SYSTEM, LLC
Family Medicine
130 DILLON DR
SPARTANBURG, SC 29307
Spartanburg County (864) 585-2027

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 1891913653. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Mary Black Physicians Group LLC located?

Mary Black Physicians Group LLC is located at 130 Dillon Dr, Spartanburg, SC 29307. The listed phone number is (864) 585-2027.

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 July 2, 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.