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

Mary Black Physician Services LLC

Organization Orthopaedic Surgery Physician · NPI 1811950645

Mary Black Physician Services LLC is an Orthopaedic Surgery Physician in Duncan, South Carolina. Works from 2 locations. Licensed in South Carolina.

Licensed in
SC
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

170 Ridgeview Center Dr
Duncan, SC 29334-9635
Phone: (864) 573-3124
Fax: (864) 582-5188
Show map & directions

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

Additional practice locations (1)

  • 724 Hyatt St, Gaffney, SC 29341-2630 — (864) 488-2507

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X (SC)
Orthopaedic Surgery Physician Taxonomy 207X00000X
Physician Assistant Taxonomy 363A00000X (SC)

Record details

NPI number1811950645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammy McCollum — Business Office Director · (864) 253-8063
NPI enumeratedApril 11, 2006
Last updated in NPPESJune 20, 2018
Mailing address145b Dillon Dr, Spartanburg, SC 29307-1017

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