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 Family Medicine Physician · NPI 1710995212

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
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

138 Dillon Dr Ste A
Spartanburg, SC 29307-1018
Phone: (864) 542-8980
Fax: (864) 515-9994
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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
Legal Medicine (M.D./D.O.) Physician Taxonomy 209800000X

Record details

NPI number1710995212
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMary Black Health System LLC
Authorized official Laurie Holtsford — Director Of Business Office Support · (615) 465-7000
Other names Center For Industrial Medicine
NPI enumeratedAugust 3, 2006
Last updated in NPPESAugust 21, 2007
Mailing address2995 Reidville Rd, Suite 100, Spartanburg, SC 29301-5628

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