Individual
DR. JORAY ANTHONY WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(404) 351-1745
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01078054A
IN
207L00000X
Anesthesiology Physician
Primary
84309
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001084031
ANTHEM PROVIDER NUMBER
IN
05
—
300002391
—
IN
Enumeration date
03/25/2013
Last updated
10/18/2022
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