Organization
EMERGENCYMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BLASENAK D.O. (MEMBER)
(864) 991-6156
Entity
Organization
Contact information
Practice address
2555 BOILING SPRINGS RD, BOILING SPRINGS, SC 29316-5351
(864) 305-5000
Mailing address
2555 BOILING SPRINGS RD, BOILING SPRINGS, SC 29316-5351
(864) 305-5000
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
31430
SC
207P00000X
Emergency Medicine Physician
Primary
978
SC
207Q00000X
Family Medicine Physician
19491
SC
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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