Individual
ROBERT RICHARD WRIGHT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
690 GREAT OAKS RD, EADS, TN 38028-3638
(901) 461-3502
Mailing address
690 GREAT OAKS RD, EADS, TN 38028-3638
(901) 461-3502
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
064404130
TN
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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