Wright, Amanda R.

Wright, Amanda R. is an individual health care provider with primary practice located at 1255 Highway 54 West , Fayetteville GA 30214-4548. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Wright, Amanda R. can be contacted via phone (404) 351-1745.

Contact Information

Primary practice address
1255 Highway 54 West Fayetteville GA 30214-4548
Fax: (404) 351-7121
Website:

Profile Details

NPI number 1568771533
LBN Legal business name Wright, Amanda R.
Credentials PA-AA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2010
Last updated Feb 26th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568771533 NPPES
South Carolina MEDICAID AA0016
South Carolina Other P00897043

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