Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Black Health System LLC

Organization Cardiovascular Disease Physician · NPI 1083640981

Mary Black Health System LLC provides Cardiovascular Disease Physician services in Spartanburg, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1700 Skylyn Dr
Spartanburg, SC 29307-1041
Phone: (864) 573-3000
Fax: (864) 573-3277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence HTL-704 (SC)
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X · Licence HTL-704 (SC)

Record details

NPI number1083640981
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Hurley — Senior Vice President · (214) 473-3993
Other names Mary Black Memorial Hospital
NPI enumeratedJune 23, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1700 Skylyn Dr, Po Box 3217, Spartanburg, SC 29307-1041

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