Wright, David

Wright, David is an individual health care provider with primary practice located at 1765 Old West Broad St , Athens GA 30606-2853. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wright, David can be contacted via phone (706) 549-1663.

Contact Information

Primary practice address
1765 Old West Broad St Athens GA 30606-2853
Phone: (706) 549-1663
Fax: (706) 546-8792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4417 Georgia

Profile Details

NPI number 1669454716
LBN Legal business name Wright, David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Mar 11th, 2024 - about 8 months 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 1669454716 NPPES
Other 12150845 CAQH NUMBER

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