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Mary Black Physician Services Llc
Nurse Practitioner in Duncan, South Carolina
NPI 1811950645

Mary Black Physician Services Llc is a Nurse Practitioner based in Spartanburg, SC. Mary Black Physician Services Llc practices in Duncan, SC. The NPI Number for Mary Black Physician Services Llc is 1811950645 and holds a License No. (South Carolina).

The current practice location address for Mary Black Physician Services Llc is 170 Ridgeview Center Dr, Duncan, SC and can be reached out via phone at 864-573-3124 and via fax at 864-582-5188.

Location: 170 Ridgeview Center Dr, Duncan, SC, 29307-1017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811950645
Provider Name
Mary Black Physician Services Llc
Credential
Provider Entity Type
Organization
Address
170 Ridgeview Center Dr, Duncan, SC, 29307-1017
Phone Number
864-573-3124
Fax Number
864-582-5188
Provider Enumeration Date
04/11/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
800572901 01 TAX ID
GP4319 05 SC
GP4168 05 SC
GP4169 05 SC
GP4353 05 SC
institution
Provider Business Practice Location Address Details
Address
170 Ridgeview Center Dr
City
Duncan
State
South Carolina
Zip
29334-9635
Phone Number
864-573-3124
Fax Number
864-582-5188
person
Provider Business Mailing Address Details
Address
170 Ridgeview Center Dr
City
Duncan
State
South Carolina
Zip
29334-9635
Phone Number
864-573-3124
Fax Number
864-582-5188
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
(South Carolina)
Definition
An orthopedic 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 orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
(South Carolina)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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