Randall Richard Blouin
M.D. | Pediatric Neurodevelopmental Disabilities | Male
Randall Richard Blouin, M.D. is a Greenville, South Carolina based Pediatric doctor with medical specialization in
Pediatric Neurodevelopmental Disabilities.
Current practice location of Randall Richard Blouin is
200 Patewood Dr, Suite A350, Greenville, South Carolina - 29615-3593. He can be contacted on phone at
864-454-5110 and fax number 864-454-5141.
Randall Richard Blouin is a sole proprietor of his business.
NPI number (Unique professional ID) for Randall Richard Blouin is
1366491342 which was assigned by NPPES on 08 May, 2006 and it was last updated on 24 Jul, 2013.
Randall Richard Blouin license number is
8372 for Pediatrics Neurodevelopmental Disabilities (2080P0008X) in South Carolina.
Randall Richard Blouin treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
Complete Profile:
Randall Richard Blouin basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neurodevelopmental Disabilities |
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| Provider Name : | Randall Richard Blouin |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Randall Richard Blouin address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 200 Patewood Dr, Suite A350
Greenville, SC, 29615-3593
United States |
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| Phone Number : | 864-454-5110 |
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| Fax Number : | 864-454-5141 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1366491342 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 May, 2006 |
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| Last Updated On : | 24 Jul, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Randall Richard Blouin are as mentioned. Primary taxonomy code for Randall Richard Blouin, M.D. is
2080P0008X (Pediatrics Neurodevelopmental Disabilities).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 8372 | SC |
| 2080P0008X | Pediatrics Neurodevelopmental Disabilities | Yes | 8372 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Randall Richard Blouin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 57-6007863080 | Other | SC | BCBS OF SC |
| 083723 | MEDICAID | SC | |
| 1385497 | Other | SC | CIGNA |
| 4304559 | Other | SC | AETNA |
| 57-6007863037 | Other | SC | BLUE CHOICE OF SC |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1 Independence Pt, Suite 212
Greenville, SC, 29615-4545
United States |
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| Phone Number : | 864-797-6044 |
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Business Location:
Patients can refer following map for directions to
Randall Richard Blouin practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.