Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Black Health System, LLC

Organization Surgery Physician · NPI 1053428631

Mary Black Health System, LLC is a Surgery Physician in Spartanburg, South Carolina. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1690 Skylyn Dr Ste 140
Spartanburg, SC 29307-1036
Phone: (864) 591-1664
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1053428631
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Hurley — Sr Vp · (214) 473-3993
Other names Upstate Surgical Associates
NPI enumeratedAugust 23, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address138 Dillon Dr Ste A, Spartanburg, SC 29307-1018

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