IndividualActive
Randall Blouin, M.D.
NPI 1366491342 · Pediatric Neurodevelopmental Disabilities Physician · Greenville, SC
Provider details
- NPI number
- 1366491342
- Entity type
- Individual
- Primary specialty
- Pediatric Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 8372 (SC)
Practice location
200 Patewood Dr
Suite A350
Greenville, SC 29615-3593
Phone: (864) 454-5110
Fax: (864) 454-5141
Mailing address
1 Independence PT
Greenville, SC 29615-4545
Registry dates
- Enumerated
- 2006-05-08
- Last updated
- 2013-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.