Individual
DEREK TAYLOR WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
135 W RAVINE RD STE 5-B, KINGSPORT, TN 37660-3847
(423) 224-3465
Mailing address
125 WRIGHT LN, ROGERSVILLE, TN 37857-5397
(423) 921-4187
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
129402
TN
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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