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NPI Code Detail

MEDICARE: WILLIAM ZACHARY BLOODWORTH

MEDICARE: WILLIAM ZACHARY BLOODWORTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156F00000XTechnician/Technologist

General Provider Information

NPI Number : 1427901834
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM ZACHARY BLOODWORTH
Provider Business Mailing Address
First Line : 110 EAGLESHAM WAY
Second Line :
City : CARY
State : NC
Zip : 27513-5158
Country : US
Telephone Number : 919-481-9234
Fax Number :
Provider Business Practice Location Address
First Line : 3200 MACCORKLE AVE SE
Second Line :
City : CHARLESTON
State : WV
Zip : 25304-1227
Country : US
Telephone Number : 681-273-7100
Fax Number : 681-317-8704
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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Directions to “ WILLIAM ZACHARY BLOODWORTH ” Practice Location

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