Individual
DOROTHY LYNN BLOODWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
805 PAMPLICO HWY, FLORENCE, SC 29505-6047
(843) 674-5000
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3321
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
25690A
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
RN130988
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000790688C
—
GA
Enumeration date
05/18/2006
Last updated
03/20/2025
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