DONALD LEWIS BLOODWORTH III APRN
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1679219752- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APRN
- Status
- Active
Contact & Location
- Address
- 811 W MAIN ST, LEXINGTON, SC, 290722507
- Phone
- (803) 358-6100
- Fax
- (803) 358-6105
Specialties & Taxonomies
Nurse Practitioner
Primary License: SC #30537
Nurse Practitioner, Family
License: VT #026.0126294