Most Relevant Information
Provider Data
| NPI Number: | 1003496720 |
| Provider Name: | ROMAN PEELE BLOUNT |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | BLOU-LA8994 |
Most Important Dates
| Enumeration Date: | 04/08/2021 |
| Last Updated: | 08/23/2024 |
Provider Practice Location
1846 DUTCH FORK RD
IRMO
SC
290638830
Practice Location Phone/Fax
| Phone: | 8037815200 |
| Fax: |
Provider Mailing Location
PO BOX 6069
WEST COLUMBIA
SC
291716069
Provider Mailing Phone/Fax
| Phone: | 8037912203 |
| Fax: |
Suggested EMR
Family Practice EMR