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Mary Black Physicians Group, Llc
Family Nurse Practitioner in Landrum, South Carolina
NPI 1952546434

Mary Black Physicians Group, Llc is a Family Nurse Practitioner based in Atlanta, SC and is specialized in Family. Mary Black Physicians Group, Llc practices in Landrum, SC. The NPI Number for Mary Black Physicians Group, Llc is 1952546434 and holds a License No. (South Carolina).

The current practice location address for Mary Black Physicians Group, Llc is 108 W Rutherford St, Landrum, SC and can be reached out via phone at 864-457-2363.

Location: 108 W Rutherford St, Landrum, SC, 30384-7827
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952546434
Provider Name
Mary Black Physicians Group, Llc
Credential
Provider Entity Type
Organization
Address
108 W Rutherford St, Landrum, SC, 30384-7827
Phone Number
864-457-2363
Fax Number
Provider Enumeration Date
12/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP4775 05 SC
institution
Provider Business Practice Location Address Details
Address
108 W Rutherford St
City
Landrum
State
South Carolina
Zip
29356-1526
Phone Number
864-457-2363
Fax Number
person
Provider Business Mailing Address Details
Address
108 W Rutherford St
City
Landrum
State
South Carolina
Zip
29356-1526
Phone Number
864-457-2363
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
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Definition
Definition to come...
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