Marian J Wasson (NPI# 1881665685, PAC ID# 7618034307) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1881665685 |
| PAC ID by PECOS | 7618034307 |
| Professional Enrollment ID | I20090325000103 |
| Full Name | Marian J Wasson |
| Organization Legal Name | MARY BLACK PHYSICIANS GROUP LLC |
| Address |
517 Chesnee Hwy A Gaffney SC 29341-2709 |
| Phone Number | 8644877655 |
| Gender | F |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 0840393740 |
| Number of Group Practice Members | 69 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420043 | MARY BLACK HEALTH SYSTEM GAFFNEY |
| Address | Phone | Organization |
|---|---|---|
| 517 Chesnee Hwy A, Gaffney, SC 29341-2709 | 8644877655 | MARY BLACK PHYSICIANS GROUP LLC |
| Organization Legal Name | MARY BLACK PHYSICIANS GROUP LLC |
| Physicians | 20 |
| 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 |
| 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 |
| Leah Goodson-gerami | Obstetrics/gynecology | Mary Black Physicians Group LLC | 130 Dillon Dr, Spartanburg, SC 29307-1018 |
| Street Address |
517 CHESNEE HWY A |
| City | GAFFNEY |
| State | SC |
| Zip | 29341-2709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Dipasqua | Optometry | 165 Walton Dr, Gaffney, SC 29341-1268 | |
| Alfred T Ezman | Internal Medicine | 211 W Montgomery St, Gaffney, SC 29341-1773 | |
| Clifford W Bowers Iii | Family Medicine | Spartanburg Medical Center | 840 W Floyd Baker Blvd, Gaffney, SC 29341-1845 |
| William Wagner | Chiropractic | 303 W Birnie St, Gaffney, SC 29341-2307 | |
| Norden W Davis | Optometry | 300 N Logan St, Gaffney, SC 29341-2320 | |
| Ronn Charles Radcliff | Chiropractic | 122 S Granard St, Gaffney, SC 29341-2346 | |
| James G Bedenbaugh | Chiropractic | 212 S Granard St, Gaffney, SC 29341-2347 | |
| Khalid Soherwardy | Family Medicine | 317 N Logan St, Gaffney, SC 29341-2353 | |
| David J Lydon | Family Medicine | Spartanburg Medical Center | 722 Hyatt St, Gaffney, SC 29341-2643 |
| Richard J Ruffing | Family Medicine | Spartanburg Medical Center | 722 Hyatt St, Gaffney, SC 29341-2643 |
| Find all physicians in zip 29341 | |||
| City | GAFFNEY |
| Zip Code | 29341 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | GAFFNEY + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Marian J Wasson.
| 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.