Nurse Practitioner
MARY BLACK PHYSICIAN SERVICES 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 Plan acceptance stays unpublished until the practice reports it.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 1811950645 · enumerated 2006-04-11 · record updated 2018-06-20. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: TAMMY MCCOLLUM, Business Office Director · (864) 253-8063
Addresses and phones
- Mailing address 145B DILLON DR, SPARTANBURG, SC, 29307-1017 (865) 253-8063 Fax (864) 582-5188 Google Maps Apple Maps OpenStreetMap
- Practice location 170 RIDGEVIEW CENTER DR, DUNCAN, SC, 29334-9635 (864) 573-3124 Fax (864) 582-5188 Google Maps Apple Maps OpenStreetMap
Specialties
- Orthopaedic Surgery 207X00000X
- Physician Assistant 363A00000X
- Nurse Practitioner 363L00000X · Primary
In this directory
Locations and evidence
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Practice location
DUNCAN, SC, 293349635
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.