Mary Black Health System, Llc
Pediatrics
147 Oakwood Ave, Spartanburg
South Carolina, 29302-1207
864-582-8135 Mary Black Health System, Llc is a Pediatrics in Spartanburg, South Carolina. This organization is also known as sub part of Mary Black Health System, Llc. It is located at 147 Oakwood Ave, Spartanburg and it's customer support contact number is 864-582-8135. The authorized person of Mary Black Health System, Llc is Debbie Brewer who is Director Of Provider Enrollment of this DME and his contact number is 615-465-7000.
Mary Black Health System, Llc is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
DME Supplier Details:
Mary Black Health System, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Mary Black Health System, Llc |
| Type: | Pediatrics |
| Location: | 147 Oakwood Ave, Spartanburg,
South Carolina, 29302-1207 |
| Phone: | 864-582-8135 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Debbie Brewer |
| Position: | Director Of Provider Enrollment |
| Contact Number: | 615-465-7000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1588679922 |
| Parent Organization: | Mary Black Health System, Llc |
| NPI Enumeration Date: | 31 Jul, 2006 |
| NPI Last Update On: | 14 Aug, 2007 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Black Health System, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatrics | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| GP2480 | Medicaid | South Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 138 Dillon Dr Ste A,
Spartanburg, South Carolina |
| Zip: | 29307-1018 |
| Phone Number: | 864-542-8980 |
| Fax Number: | 864-515-9994 |
Patients can reach Mary Black Health System, Llc at
147 Oakwood Ave, Spartanburg, South Carolina or can
call on customer care at 864-582-8135.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.