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Mary Black Physicians Group LLC

Mary Black Physicians Group LLC is a healthcare organization registered as Rural Health Clinic/Center in Union, SC, holding Type 2 (organization) NPI 1962584938 since 2006. The authorized official on file is Debbie Brewer, Director.

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NPI 1962584938
Entity type Organization (Type 2)
Legal business name Mary Black Physicians Group LLC
Other name <Unavail>
Parent organization Mary Black Physicians Group LLC
Practice address 1005 THOMPSON BLVD, Union, SC, 29379
Phone 8644279311
Fax 8644279309
Enumeration date 2006-10-19
Last updated in NPPES 2008-08-12

Authorized official

Name Debbie Brewer
Title Director
Phone 8778929813

Taxonomy & classification

Taxonomy code Specialty Primary License State
261QR1300X Rural Health Clinic/Center Primary
Copy-ready billing details
Provider: Mary Black Physicians Group LLC
NPI: 1962584938
Taxonomy: 261QR1300X (Rural Health Clinic/Center)
Address: 1005 THOMPSON BLVD, Union, SC, 29379

Providers at this address

NPI Name Type Specialty Location
1083667570 Carolina Internal Medicine of Union, LLC Organization Internal Medicine Physician Union, SC
1326283938 Mary Black Physicians Group, LLC Organization Internal Medicine Physician Union, SC
1851531685 Upstate Lung & Critical Care Specialists, PC Organization Pulmonary Disease Physician Union, SC
1619566957 Sherry Phillips Individual Registered Nurse Union, SC
1245047414 Haley Shealy Individual Family Nurse Practitioner Union, SC

Verify this record

Cross-check NPI 1962584938 against the authoritative CMS record: view Mary Black Physicians Group LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Mary Black Physicians Group LLC located?
The practice location on file with NPPES is in Union, SC.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-08-12. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-08-12.