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

Mary Black Health System LLC

Organization Cardiovascular Disease Physician · NPI 1083640981

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

Licensed in
SC
In the registry since
2006
Specialties on file
3
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

1700 Skylyn Dr
Spartanburg, SC 29307-1041
Phone: (864) 573-3000
Fax: (864) 573-3277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence HTL-704 (SC)
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X · Licence HTL-704 (SC)

Record details

NPI number1083640981
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Hurley — Senior Vice President · (214) 473-3993
Other names Mary Black Memorial Hospital
NPI enumeratedJune 23, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1700 Skylyn Dr, Po Box 3217, Spartanburg, SC 29307-1041

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