Organization
EMERGENCYMD
Active
Other names
PrimaryMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON HOWARD BLASENAK D.O. (MEMBER)
(864) 991-6156
Entity
Organization
Contact information
Practice address
2498 N PLEASANTBURG DR, GREENVILLE, SC 29609-2730
(864) 305-5000
(864) 840-8207
Mailing address
2498 N. PLEASANTBURG DR., SUITE B, GREENVILLE, SC 29609
(864) 991-6156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/09/2014
Last updated
10/30/2015
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