| NPI | 1619383791 |
|---|---|
| Other Name | PRIMARYMD |
| Entity Type | Organization |
| Authorized Contact | JASON HOWARD BLASENAK Member 864-991-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2015-10-30 |