Wright, Malcolm G.

Wright, Malcolm G. is an sole proprietor health care provider with primary practice located at 2500 Starling Street Suite 402, Brunswick GA 31520-4219. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wright, Malcolm G. can be contacted via phone (912) 554-0111.

Contact Information

Primary practice address
2500 Starling Street Suite 402 Brunswick GA 31520-4219
Phone: (912) 554-0111
Fax: (912) 554-0830
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 026414 Georgia

Profile Details

NPI number 1417931643
LBN Legal business name Wright, Malcolm G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2005
Last updated Jan 3rd, 2011 - about 14 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 1417931643 NPPES
Georgia Other 023510 BLUE SHIELD
Georgia Other GRP2603 BLUE SHIELD
Georgia Other 581596796 BLUE SHIELD
Georgia MEDICAID 000286954A BLUE SHIELD
Georgia Other 080064654 BLUE SHIELD

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