Individual
JEAN A WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., MBA
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8016
(912) 350-7221
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8016
(912) 350-7221
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
022669
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000266626H
—
GA
01
—
10065828
AMERIGROUP
GA
01
—
349842
WELLCARE
GA
05
—
Q22669
—
SC
Enumeration date
06/29/2006
Last updated
08/25/2009
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