Individual
CHARLES WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 938-8120
Mailing address
PO BOX 71, SEBASTOPOL, MS 39359-0071
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-0162
MS
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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