Individual
DR. JEREMIAH HOLMAN WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 SKYLINE DRIVE, JACKSON, TN 38301-3901
(731) 541-6174
(731) 541-8008
Mailing address
PO BOX 11955, SUITE A, JACKSON, TN 38301-3901
(888) 630-0845
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
48222
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529425
—
TN
01
—
P01092898
RAILROAD MEDICARE
TN
Enumeration date
03/02/2007
Last updated
12/18/2024
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