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1255799961
PRIMARYMD
GREENVILLE, SC
NPI
1255799961
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Entity Type
Organization
Authorized Contact
JASON BLASENAK
Member
864-305-5000
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 978)
Enumeration Date
2016-02-09
Last Update Date
2016-02-09
Business Address
PRIMARYMD
2498 N PLEASANTBURG DR SUITE D
GREENVILLE, SC 29609-2730
Phone number: 864-305-5000
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Mailing Address
PRIMARYMD
2498 N. PLEASANTBURG DR. SUITE D
GREENVILLE, SC 29609
Phone number: 864-305-5000
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