Mary Black Physician Services Llc in Spartanburg - Orthopaedic Surgery
Mary Black Physician Services Llc - NPI 1811950645
Mary Black Physician Services Llc is a Orthopaedic Surgery in Spartanburg, South Carolina. Mary Black Physician Services Llc practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Mary Black Physician Services Llc is 1811950645. The last update date is 2018-06-20.
Mary Black Physician Services Llc's current location address is 145b Dillon Dr, Spartanburg, South Carolina. You can contact this provider via phone number 8652538063 and fax number 8645825188. The mailing address for Mary Black Physician Services Llc is 145b Dillon Dr, Spartanburg, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mary Black Physician Services Llc |
|---|---|
| Address | 145b Dillon Dr, Spartanburg, South Carolina |
| Phone Number | 8652538063 |
| Fax Number | 8645825188 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS O |
|---|---|
| Authorized Official Name | Mccollum V Tammy |
| Telephone Number | 8642538063 |
NPI Number Detail
| NPI Number | 1811950645 |
|---|---|
| Provider Enumeration Date | 2006-04-11 |
| Last Updated Date | 2018-06-20 |
Provider Mailing Address Detail
| Address | 145b Dillon Dr |
|---|---|
| City | Spartanburg |
| State | South Carolina (SC) |
| Post Code | 293071017 |
| Phone Number | 8652538063 |
| Fax Number | 8645825188 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
|
Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 800572901 | TAX ID | ||
| GP4319 | SC | -- | |
| GP4168 | SC | -- | |
| GP4169 | SC | -- | |
| GP4353 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Black Physician Services Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Black Physician Services Llc has been assigned the NPI (National Provider Identifier) 1811950645. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Mary Black Physician Services Llc located?
The Mary Black Physician Services Llc is located at 145B Dillon Dr, Spartanburg, SC 293071017.
When was the Mary Black Physician Services Llc's 1811950645 issued?
The Mary Black Physician Services Llc's 1811950645 was issued on 2006-04-11.
On what date did the Centers for Medicare & Medicaid Services issue the 1811950645 to Mary Black Physician Services Llc?
The Mary Black Physician Services Llc received its 1811950645 assignment from the Centers for Medicare & Medicaid Services on 2006-04-11.
When was the information pertaining to Mary Black Physician Services Llc most recently updated or revised?
The details related to Mary Black Physician Services Llc, including its address, specialty, and other relevant information, were last updated or revised on 2018-06-20.