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

Mary Black Health System LLC

Organization Family Medicine Physician · NPI 1629090568

Mary Black Health System LLC provides Family Medicine Physician services in Pacolet, South Carolina. Registered with an NPI since 2006.

In the registry since
2006
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

391 Glenn Springs Rd
Pacolet, SC 29372-2417 Not confirmed with CMS for 19 years — call before visiting
Phone: (864) 474-3013
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1629090568
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMary Black Health System LLC
Authorized official Debbie Brewer — Director Of Provider Enrollment · (615) 465-7000
Other names Foothills Family Medicine
NPI enumeratedJuly 23, 2006
Last updated in NPPESAugust 22, 2007
Mailing address391 Glenn Springs Rd, Pacolet, SC 29372-2417

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