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 1982612925

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
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

2995 Reidville Rd Ste 100
Spartanburg, SC 29301-5600
Phone: (864) 587-3000
Fax: (864) 587-3019
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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
Pediatrics Physician Taxonomy 208000000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1982612925
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMary Black Health System LLC
Authorized official Debbie Brewer — Director Of Provider Enrollmetn · (615) 465-7626
Other names Westside Urgent Care
NPI enumeratedAugust 4, 2006
Last updated in NPPESJune 25, 2008
Mailing addressPo Box 406757, Atlanta, GA 30384-6757

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