# PRIMARYMD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EMERGENCYMD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255799961
- **Legal business name:** EMERGENCYMD
- **Authorized official:** JASON BLASENAK D.O. (MEMBER)
- **Authorized official phone:** (864) 305-5000

## Contact information

- **Practice address:** 2498 N PLEASANTBURG DR, SUITE D, GREENVILLE, SC 29609-2730
- **Practice address phone:** (864) 305-5000
- **Practice address fax:** (864) 840-8207
- **Mailing address:** 2498 N. PLEASANTBURG DR., SUITE D, GREENVILLE, SC 29609
- **Mailing address phone:** (864) 305-5000
- **Mailing address fax:** (864) 840-8207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 978 | SC | Yes |

## Other

- **Enumeration date:** 02/09/2016
- **Last updated:** 02/09/2016
