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

Mary Black Physicians Group, LLC

Organization Pediatric Adolescent Medicine Physician · NPI 1205071784

Mary Black Physicians Group, LLC is a Pediatric Adolescent Medicine Physician in Spartanburg, South Carolina. Registered with an NPI since 2008.

In the registry since
2008
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

1686 Skylyn Dr Ste 201
Spartanburg, SC 29307-1079
Phone: (864) 582-8135
Show map & directions

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

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1205071784
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMary Black Physicians Group, LLC
Authorized official Debbie Brewer — Director Provider Enrollment · (615) 465-7626
Other names Pediatric Associates-East
NPI enumeratedDecember 11, 2008
Last updated in NPPESDecember 11, 2008
Mailing addressPo Box 277827, Atlanta, GA 30384-7827

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