Family Medicine
MARY BLACK HEALTH SYSTEM LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1578507174 · enumerated 2006-06-15 · record updated 2008-07-16. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DEBBIE BREWER, Director of Provider Enrollment · (615) 465-7000
Addresses and phones
- Mailing address PO BOX 406757, ATLANTA, GA, 30384-6757 (864) 253-8063 Google Maps Apple Maps OpenStreetMap
- Practice location 1690 SKYLYN DR, SUITE 300, SPARTANBURG, SC, 29307-1022 (864) 582-1201 Fax (864) 596-7409 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X
- Internal Medicine, Gastroenterology 207RG0100X
- Internal Medicine, Infectious Disease 207RI0200X
- Obstetrics & Gynecology 207V00000X
- Orthopaedic Surgery 207X00000X
- Otolaryngology 207Y00000X
- Pediatrics 208000000X
- Radiology, Diagnostic Radiology 2085R0202X
- Surgery 208600000X
- Surgery, Surgery of the Hand 2086S0105X
- Urology 208800000X
- Colon & Rectal Surgery 208C00000X
- Podiatrist 213E00000X
- Clinic/Center, Radiology, Mammography 261QR0206X
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
SPARTANBURG, SC, 293071022
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.