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

Mary Black Health System, LLC

Organization Obstetrics & Gynecology Physician · NPI 1710995105

Mary Black Health System, LLC is an Obstetrics & Gynecology Physician in Spartanburg, South Carolina. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
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

123 Dillon Dr
Spartanburg, SC 29307-1017
Phone: (864) 585-8064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Gynecology Physician Taxonomy 207VG0400X
Obstetrics Physician Taxonomy 207VX0000X

Record details

NPI number1710995105
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Hurley — Senior Vice President · (214) 473-3993
Other names Kiesau Gynecology Associates
NPI enumeratedAugust 3, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address138 Dillon Dr Ste A, Spartanburg, SC 29307-1018

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