Individual
ERIC R WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
360 E CHARITY RD, ROSE HILL, NC 28458-8303
(910) 289-3086
(910) 267-8992
Mailing address
444 SW CENTER ST, P.O. BOX 187, FAISON, NC 28341-8820
(910) 267-0421
(910) 267-0441
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02694
NC
363A00000X
Physician Assistant
PA10004627
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8380115
—
WA
01
—
NC8641A
MEDICARE PTAN
NC
Enumeration date
09/27/2006
Last updated
07/28/2017
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