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Individual

WILLIAM BRENT WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CP,BOCO

Contact information

Practice address
213 AIRPORT RD, KINSTON, NC 28504-8859
(252) 522-3278
(252) 522-3280
Mailing address
P O BOX 1495, KINSTON, NC 28503-1495
(252) 522-3278
(252) 522-3280

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
224P00000X
Prosthetist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0414L
BLUE CROSS BLUE SHIELD
NC
05
7795310
NC
Enumeration date
02/27/2007
Last updated
05/06/2013
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