NPI 1467423608 · live from the CMS NPI Registry
John David Blevins, M.D.
Psychiatry & Neurology, Neurology in West Columbia, SC. National Provider Identifier 1467423608, active.
NPI record
| NPI | 1467423608 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 2720 Sunset Blvd, West Columbia, SC 29169 |
| Practice phone | 803-936-7372 |
| Mailing address | Po Box 6069, West Columbia, SC 29171 |
| Enumerated | January 27, 2006 |
| Last updated | April 19, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | 058855 (GA) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 86721 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.