| Primarymd | |
|
2498 N Pleasantburg Dr Greenville SC 29609-2730 | |
| (864) 305-5000 | |
| (864) 840-8207 |
| Full Name | Primarymd |
|---|---|
| Speciality | General Practice |
| Location | 2498 N Pleasantburg Dr, Greenville, South Carolina |
| Authorized Official Name and Position | Jason Howard Blasenak (MEMBER) |
| Authorized Official Contact | 8649916156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primarymd 2498 N. Pleasantburg Dr. Suite B Greenville SC 29609 Ph: (864) 991-6156 | Primarymd 2498 N Pleasantburg Dr Greenville SC 29609-2730 Ph: (864) 305-5000 |
| NPI Number | 1619383791 |
|---|---|
| Provider Enumeration Date | 07/09/2014 |
| Last Update Date | 10/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619383791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 208D00000X | General Practice | () | Primary |
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