Organization
EMBER MODERN MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BLANK MD (OWNER)
(864) 702-2365
Entity
Organization
Contact information
Practice address
1068 N CHURCH ST STE 101, GREENVILLE, SC 29601-1769
(864) 702-2365
(864) 474-4109
Mailing address
1068 N CHURCH ST STE 101, GREENVILLE, SC 29601-1769
(864) 702-2365
(864) 474-4109
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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