Individual
COLLIN WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
106 LANGTREE VILLAGE DR STE 200, MOORESVILLE, NC 28117-7594
(704) 384-7101
(704) 384-7101
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05297
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386044527
—
NC
Enumeration date
08/25/2014
Last updated
10/28/2020
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