Individual
LYNN SCOTT GOOLSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4111
Mailing address
2844 TWIN PINE RD, THOMSON, GA 30824-6513
(706) 597-0815
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2976
SC
367500000X
Certified Registered Nurse Anesthetist
RN149526
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404870045A
—
GA
05
—
GAN546
—
SC
Enumeration date
05/03/2006
Last updated
03/15/2024
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