NPI 1518646041

Erblaz

Organisation General Practice Physician Spartanburg, SC

Practice location

Address: 130 Dillon Dr, Spartanburg, SC 29307-1018
Phone: (864) 365-3000
Mailing address: 2391 Roper Mountain Rd, Simpsonville, SC 29681-4937

Authorised official

Name: Jason Blasenak
Title: Member
Phone: (864) 533-0029

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in South Carolina →

Registry record

NPI: 1518646041
Entity type: Organization
NPI issued: 12 Jul 2023
Record last updated: 12 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.