Individual
LINDSAY WALTON BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7428 BROAD RIVER RD, IRMO, SC 29063-9662
(803) 732-0140
Mailing address
601 CLEMSON RD, COLUMBIA, SC 29229-4341
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
91630
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2019
Last updated
09/17/2024
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