Wright, Wayne Cameron

Wright, Wayne Cameron is an individual health care provider with primary practice located at 2501 N Patterson St , Valdosta GA 31602-1735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wright, Wayne Cameron can be contacted via phone (229) 333-9729.

Contact Information

Primary practice address
2501 N Patterson St Valdosta GA 31602-1735
Fax: (229) 333-0832
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 056001 Georgia

Profile Details

NPI number 1639150741
LBN Legal business name Wright, Wayne Cameron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Apr 16th, 2018 - about 6 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 1639150741 NPPES
Georgia MEDICAID 636633899B

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