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

Mary Black Health System LLC

Organization Family Medicine Physician · NPI 1578507174

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

In the registry since
2006
Specialties on file
15
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 300
Spartanburg, SC 29307-1022
Phone: (864) 582-1201
Fax: (864) 596-7409
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Gastroenterology Physician Taxonomy 207RG0100X
Infectious Disease Physician Taxonomy 207RI0200X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Otolaryngology Physician Taxonomy 207Y00000X
Pediatrics Physician Taxonomy 208000000X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Surgery Physician Taxonomy 208600000X
Surgery of the Hand (Surgery) Physician Taxonomy 2086S0105X
Urology Physician Taxonomy 208800000X
Colon & Rectal Surgery Physician Taxonomy 208C00000X
Podiatrist Taxonomy 213E00000X
Mammography Clinic/Center Taxonomy 261QR0206X

Record details

NPI number1578507174
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debbie Brewer — Director Of Provider Enrollment · (615) 465-7000
NPI enumeratedJune 15, 2006
Last updated in NPPESJuly 16, 2008
Mailing addressPo Box 406757, Atlanta, GA 30384-6757

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