Individual provider · Type 1 NPI

Randall Richard Blouin, MD

Pediatric Neurodevelopmental Disabilities Physician · Greenville, SC

NPI number 1366491342 Active

Practice location

200 Patewood Dr, Suite A350
Greenville, SC 29615-3593

Call (864) 454-5110 Map

Fax (864) 454-5141

Mailing address

1 Independence Pt, Suite 212
Greenville, SC 29615-4545

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X8372 (SC)
Pediatric Neurodevelopmental Disabilities Physician Primary 2080P0008X8372 (SC)

Pediatric Neurodevelopmental Disabilities Physician: A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

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About NPI 1366491342

Randall Richard Blouin, MD's National Provider Identifier is 1366491342, issued on May 8, 2006. The primary taxonomy on file is Pediatric Neurodevelopmental Disabilities Physician (2080P0008X), and the practice location is in Greenville, SC. The record was last updated on Jul 24, 2013.