Individual
EDWARD T WRIGHT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 N BROAD ST, THOMASVILLE, GA 31792-8132
(229) 228-6496
(229) 228-6510
Mailing address
130 N BROAD ST, THOMASVILLE, GA 31792-8132
(229) 228-6496
(229) 228-6510
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
051862
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049876B
—
GA
Enumeration date
04/10/2006
Last updated
01/04/2012
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