Individual
MR. GLENN AUGUST WRIGHT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1011 EDEN WAY N, SUITE H, CHESAPEAKE, VA 23320-2768
(757) 314-8999
(757) 314-8998
Mailing address
509 BOOTH CT, CHESAPEAKE, VA 23322-1274
(757) 314-7430
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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