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

Mary Black Health System, LLC

Organization Pediatrics Physician · NPI 1588679922

Mary Black Health System, LLC is a Pediatrics 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

147 Oakwood Ave
Spartanburg, SC 29302-1207
Phone: (864) 582-8135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1588679922
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMary Black Health System, LLC
Authorized official Debbie Brewer — Director Of Provider Enrollment · (615) 465-7000
Other names Pediatric Associates
NPI enumeratedJuly 31, 2006
Last updated in NPPESAugust 14, 2007
Mailing address138 Dillon Dr Ste A, Spartanburg, SC 29307-1018

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