Individual
GAYLE SMITH BLOUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
890 W FARIS RD, SUITE 320, GREENVILLE, SC 29605-4253
(864) 455-1200
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8461
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084615
—
SC
01
—
1582357
CIGNA
SC
01
—
4499170
AETNA
SC
01
—
57-6007863085
BCBS OF SC
SC
01
—
57-6007863119
BLUE CHOICE OF SC
SC
01
—
P00265766
RR MEDICARE
SC
01
—
P00801312
RR MEDICARE
SC
Enumeration date
05/08/2006
Last updated
07/31/2013
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