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Randall Richard Blouin, MD
Pediatric Neurodevelopmental Disabilities Physician in Greenville, South Carolina
NPI 1366491342

Randall Richard Blouin is a Pediatric Neurodevelopmental Disabilities Physician based in Greenville, SC and is specialized in Neurodevelopmental Disabilities. Randall Richard Blouin practices in Greenville, SC and has the professional credentials of MD. The NPI Number for Randall Richard Blouin is 1366491342 and holds a License No. 8372 (South Carolina).

The current practice location address for Randall Richard Blouin is 200 Patewood Dr, Greenville, SC and can be reached out via phone at 864-454-5110 and via fax at 864-454-5141. You can also correspond with Randall Richard Blouin through the mailing address at 1 INDEPENDENCE PT, GREENVILLE, SC - 29615-4545 (mailing address contact number: 864-797-6044).

Location: 200 Patewood Dr, Greenville, SC, 29615-4545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366491342
Provider Name
Randall Richard Blouin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Patewood Dr, Greenville, SC, 29615-4545
Phone Number
864-454-5110
Fax Number
864-454-5141
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4304559 01 SC AETNA
57-6007863080 01 SC BCBS OF SC
083723 05 SC
57-6007863037 01 SC BLUE CHOICE OF SC
1385497 01 SC CIGNA
institution
Provider Business Practice Location Address Details
Address
200 Patewood Dr
City
Greenville
State
South Carolina
Zip
29615-3593
Phone Number
864-454-5110
Fax Number
864-454-5141
person
Provider Business Mailing Address Details
Address
1 Independence Pt
City
Greenville
State
South Carolina
Zip
29615-4545
Phone Number
864-797-6044
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
8372 (South Carolina)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neurodevelopmental Disabilities
Taxonomy
2080P0008X
License No.
8372 (South Carolina)
Definition
A pediatrician who 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.
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