Individual
DR. JULIE ANN WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1891 GA HIGHWAY 40 E, SUITE 1108, KINGSLAND, GA 31548-6527
(912) 576-8980
(912) 576-8842
Mailing address
1891 GA HIGHWAY 40 E, SUITE 1108, KINGSLAND, GA 31548-6527
(912) 576-8980
(912) 576-8842
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001626
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00765047B
—
GA
01
—
410049677
RAILROAD MEDICARE PTAN
GA
01
—
41ZCFGF
MEDICARE PTAN
GA
01
—
DG7793
RAILROAD MEDICARE GROUP #
GA
Enumeration date
04/10/2006
Last updated
11/18/2024
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