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Individual

JEAN A WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., MBA

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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