Melinda Sue Durham
MARY BLACK PHYSICIANS GROUP LLC


Address: 130 Dillon Dr, Spartanburg, SC 29307-1018
Phone: 8645852027

Melinda Sue Durham (NPI# 1528011723, PAC ID# 6608979372) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1528011723
PAC ID by PECOS 6608979372
Professional Enrollment ID I20070319000103
Full Name Melinda Sue Durham
Organization Legal Name MARY BLACK PHYSICIANS GROUP LLC
Address 130 Dillon Dr
Spartanburg
SC 29307-1018
Phone Number 8645852027
Gender F
Credential MD
Medical School BAYLOR COLLEGE OF MEDICINE
Graduation Year 1991
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 0840393740
Number of Group Practice Members 79
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420083 MARY BLACK HEALTH SYSTEM SPARTANBURG
420007 SPARTANBURG MEDICAL CENTER

Other Locations

Address Phone Organization
130 Dillon Dr, Spartanburg, SC 29307-1018 8645852027 MARY BLACK PHYSICIANS GROUP LLC
148 Dillon Dr, Spartanburg, SC 29307-1018 8645821082 MARY BLACK PHYSICIANS GROUP LLC

Organization Information

Organization Legal Name MARY BLACK PHYSICIANS GROUP LLC
Physicians 20

Physicians with the same organization

Name Specialty Organization Address
Ann Marie Kenney Internal Medicine Mary Black Physicians Group LLC 148 Dillon Dr, Spartanburg, SC 29307-1018
Stephen P Chasteen Clinical Social Worker Mary Black Physicians Group LLC 170 Camelot Dr, A, Spartanburg, SC 29301-2650
Ramona R Hrysikos Registered Dietitian Or Nutrition Professional Mary Black Physicians Group LLC 130 Dillon Dr, Spartanburg, SC 29307-1018
Marian J Wasson Family Practice Mary Black Physicians Group LLC 517 Chesnee Hwy A, Gaffney, SC 29341-2709
Paul F Zubel Urology Mary Black Physicians Group LLC 1530 N Limestone St, Gaffney, SC 29340-4742
Lori A Thompson Family Practice Mary Black Physicians Group LLC 130 Dillon Dr, Spartanburg, SC 29307-1018
Sami B Elhassani Pediatric Medicine Mary Black Physicians Group LLC 130 Dillon Dr, Spartanburg, SC 29307-1018
Kimberly Cogdill Nurse Practitioner Mary Black Physicians Group LLC 130 Dillon Dr, Spartanburg, SC 29307-1018
Christopher L Brown Nurse Practitioner Mary Black Physicians Group LLC 2995 Reidville Rd, Spartanburg, SC 29301-5628
Carla F Gentry Family Practice Mary Black Physicians Group LLC 130 Dillon Dr, Spartanburg, SC 29307-1018

Office Location

Street Address 130 DILLON DR
City SPARTANBURG
State SC
Zip 29307-1018

Physicians in the same location

Name Specialty Organization Address
Ramona R Hrysikos Registered Dietitian Or Nutrition Professional Mary Black Physicians Group LLC 130 Dillon Dr, Spartanburg, SC 29307-1018
Lori A Thompson Family Practice Mary Black Physicians Group LLC 130 Dillon Dr, Spartanburg, SC 29307-1018
Sami B Elhassani Pediatric Medicine Mary Black Physicians Group LLC 130 Dillon Dr, Spartanburg, SC 29307-1018
Kimberly Cogdill Nurse Practitioner Mary Black Physicians Group LLC 130 Dillon Dr, Spartanburg, SC 29307-1018
Carla F Gentry Family Practice Mary Black Physicians Group LLC 130 Dillon Dr, Spartanburg, SC 29307-1018
Leah Goodson-gerami Obstetrics/gynecology Mary Black Physicians Group LLC 130 Dillon Dr, Spartanburg, SC 29307-1018
Laura M Moretz General Practice Mary Black Physicians Group LLC 130 Dillon Dr, Spartanburg, SC 29307-1018
Timothy R Stuart Physician Assistant Mary Black Physicians Group LLC 130 Dillon Dr, Spartanburg, SC 29307-1018
Lettie Jane Haynes Nurse Practitioner Mary Black Physicians Group LLC 130 Dillon Dr, Spartanburg, SC 29307-1018
Jeff Arts Vascular Surgery Mary Black Physicians Group LLC 130 Dillon Dr, Spartanburg, SC 29307-1018
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Mit Kishorchandra Desai Family Medicine Spartanburg Medical Center 1530 Drayton Rd, Spartanburg, SC 29307
Tameka L Garrett Nurse Practitioner Spartanburg Medical Center 1530 Drayton Rd, Spartanburg, SC 29307
Allison R Edwards Internal Medicine Spartanburg Medical Center 1530 Drayton Rd, Spartanburg, SC 29307
Donna-marie Koroma Family Medicine Spartanburg Medical Center 11 Doctors Park Dr, Suite 200, Spartanburg, SC 29307-1008
Deborah Anderson Nurse Practitioner Spartanburg Medical Center 11 Doctors Park Dr, Suite 220, Spartanburg, SC 29307-1008
Bennett H Bruckner Gastroenterology Spartanburg Medical Center 11 Doctors Dr, Suite 240, Spartanburg, SC 29307-1008
Gabor F Sovenyhazy Colorectal Surgery (proctology) 11 Doctors Park Dr, Suite 210, Spartanburg, SC 29307-1008
Angela Nicole Gary Nurse Practitioner 110 Dillon Dr, Spartanburg, SC 29307-1018
Ann Marie Kenney Internal Medicine Mary Black Physicians Group LLC 148 Dillon Dr, Spartanburg, SC 29307-1018
Kristen B Koch Physician Assistant Foothills Nephrology PC 126 Dillon Dr, Spartanburg, SC 29307-1018
Find all physicians in zip 29307

Competitor

Search similar physicians

City SPARTANBURG
Zip Code 29307
Specialty FAMILY PRACTICE
City + Specialty SPARTANBURG + FAMILY PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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